Provider Demographics
NPI:1801861828
Name:SCHAUER III, JOSEPH WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:WILLIAM
Last Name:SCHAUER III
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 1:43 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07727-1340
Mailing Address - Country:US
Mailing Address - Phone:732-938-6471
Mailing Address - Fax:732-938-3563
Practice Address - Street 1:43 MAIN ST
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NJ
Practice Address - Zip Code:07727-1326
Practice Address - Country:US
Practice Address - Phone:732-938-6471
Practice Address - Fax:732-938-3563
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-22
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA04076900207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1095102Medicaid
NJ1095102Medicaid
NJC58367Medicare UPIN