Provider Demographics
NPI:1821078650
Name:HOCHBERG, MARTIN N (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:N
Last Name:HOCHBERG
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 1:550 N MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-1632
Mailing Address - Country:US
Mailing Address - Phone:201-445-5500
Mailing Address - Fax:201-447-0378
Practice Address - Street 1:550 N MAPLE AVE
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-1632
Practice Address - Country:US
Practice Address - Phone:201-445-5500
Practice Address - Fax:201-447-0378
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02354900207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJD99033Medicare UPIN
NJ132891BTWMedicare ID - Type UnspecifiedMEDICARE