Provider Demographics
NPI:1710982210
Name:NADLER, STEVEN CRAIG (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:CRAIG
Last Name:NADLER
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 1:222 SCHANCK RD
Mailing Address - Street 2:STE 302
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-2974
Mailing Address - Country:US
Mailing Address - Phone:732-577-1999
Mailing Address - Fax:732-845-5356
Practice Address - Street 1:222 SCHANCK RD
Practice Address - Street 2:STE 302
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2974
Practice Address - Country:US
Practice Address - Phone:732-577-1999
Practice Address - Fax:732-845-5356
Is Sole Proprietor?:No
Enumeration Date:2005-06-20
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA05191200174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5555400Medicaid
NJ589226CHKOtherMEDICARE - MIDDLESEX OFFICES
NJ5555400Medicaid
NJ589226RWBMedicare ID - Type Unspecified