Provider Demographics
NPI:1538129861
Name:STEINWAY, MITCHELL I (MD)
Entity Type:Individual
Prefix:DR
First Name:MITCHELL
Middle Name:I
Last Name:STEINWAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030
Mailing Address - Country:US
Mailing Address - Phone:201-963-9597
Mailing Address - Fax:201-963-0034
Practice Address - Street 1:323 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030
Practice Address - Country:US
Practice Address - Phone:201-963-9597
Practice Address - Fax:201-963-0034
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-23
Last Update Date:2013-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA33907207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0388807Medicaid
476769SZEMedicare ID - Type Unspecified
D19214Medicare UPIN