Provider Demographics
NPI:1750489662
Name:STEINBERG, FREDERIC (DO)
Entity Type:Individual
Prefix:DR
First Name:FREDERIC
Middle Name:
Last Name:STEINBERG
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 1:137 HIGH ST
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:MOUNT HOLLY
Mailing Address - State:NJ
Mailing Address - Zip Code:08060-1420
Mailing Address - Country:US
Mailing Address - Phone:609-474-0120
Mailing Address - Fax:609-474-0121
Practice Address - Street 1:137 HIGH ST
Practice Address - Street 2:SUITE 2A
Practice Address - City:MOUNT HOLLY
Practice Address - State:NJ
Practice Address - Zip Code:08060-1420
Practice Address - Country:US
Practice Address - Phone:609-474-0120
Practice Address - Fax:609-474-0121
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB23021207V00000X
PAOS-002164-L207V00000X
NJ25MB02302100207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2371094OtherAETNA
NJ403169OtherUNITED HEALTHCARE
NJ5493307Medicaid
NJ160055239OtherRR MEDICARE
NJ3K6164OtherHEALTHNET
NJBU0000016OtherAMERICHOICE
NJP2193983OtherOXFORD
NJ471231OtherAMERIHEALTH PPO/PA BS
NJ471231OtherPA BS HIGHMARK
NJP2144310OtherOXFORD
NJ1123529OtherHORIZON NJ HEALTH
NJ29130OtherUNIVERISRY HEALTH PLAN
NJ0478306000OtherAMERIHEALTH/KEYSTONE/IBC
NJ1163592OtherHORIZON NJ HEALTH
NJ1234639OtherCIGNA
NJ1123529OtherHORIZON NJ HEALTH
NJ520997 BKRMedicare PIN