Provider Demographics
NPI:1528002110
Name:ENGELMAN, JAMES E (DO)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:E
Last Name:ENGELMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-2537
Mailing Address - Country:US
Mailing Address - Phone:732-431-5024
Mailing Address - Fax:732-431-2561
Practice Address - Street 1:901 W MAIN ST
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2537
Practice Address - Country:US
Practice Address - Phone:732-431-5024
Practice Address - Fax:732-431-2561
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2013-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB06769400208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
0233964000OtherAMERIHEALTH / KEYSTONE
NJ222445694OtherTAX ID
NJ250010976OtherRAILROAD MEDICARE
NJ1086095OtherHORIZON NJ HEALTH
NJ7948000Medicaid
OK8602OtherHEALTHNET
5826749OtherAETNA
0233964000OtherAMERIHEALTH / KEYSTONE