Provider Demographics
NPI:1639163561
Name:HASKEL, STEVEN ALAN (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:ALAN
Last Name:HASKEL
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 1:3699 ROUTE 46
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-1049
Mailing Address - Country:US
Mailing Address - Phone:973-335-4466
Mailing Address - Fax:973-335-8723
Practice Address - Street 1:3699 ROUTE 46
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-1049
Practice Address - Country:US
Practice Address - Phone:973-335-4466
Practice Address - Fax:973-335-8723
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-07
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA50950207V00000X
NJ25MA05095000207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0767506Medicaid
NJ1639163561OtherCMS
NJ537423C2EOtherMEDICARE BILLING NO.
NJ537423C2EOtherMEDICARE BILLING NO.