Provider Demographics
NPI:1659344539
Name:LEMBERGER, STEVEN R (DPM)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:R
Last Name:LEMBERGER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 STILLWELLS CORNER RD
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-2965
Mailing Address - Country:US
Mailing Address - Phone:732-863-7010
Mailing Address - Fax:732-863-7023
Practice Address - Street 1:505 STILLWELLS CORNER RD
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2965
Practice Address - Country:US
Practice Address - Phone:732-863-7010
Practice Address - Fax:732-863-7023
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-09
Last Update Date:2010-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00262700213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU88405Medicare UPIN
NJ054001Medicare ID - Type UnspecifiedMEDICARE