Provider Demographics
NPI:1336248293
Name:NEHMER, STEVEN L (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:L
Last Name:NEHMER
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 1:2121 MORRIS AVE
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-6002
Mailing Address - Country:US
Mailing Address - Phone:908-687-3000
Mailing Address - Fax:908-964-0417
Practice Address - Street 1:2121 MORRIS AVE
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-6002
Practice Address - Country:US
Practice Address - Phone:908-687-3000
Practice Address - Fax:908-964-0417
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA 03935700204C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3212009Medicaid
NJ424774Medicare ID - Type Unspecified
NJ6357950001Medicare NSC
NJ3212009Medicaid