Provider Demographics
NPI:1669567202
Name:HABER, MONTE A (MD)
Entity type:Individual
Prefix:DR
First Name:MONTE
Middle Name:A
Last Name:HABER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1680 ROUTE 23
Mailing Address - Street 2:SUITE 250
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-7501
Mailing Address - Country:US
Mailing Address - Phone:973-633-1122
Mailing Address - Fax:973-633-9922
Practice Address - Street 1:1680 ROUTE 23
Practice Address - Street 2:SUITE 250
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-7501
Practice Address - Country:US
Practice Address - Phone:973-633-1122
Practice Address - Fax:973-633-9922
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2012-02-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY191224208100000X
NJ25MA083170002081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1859554OtherUNITED HEALTHCARE
NY010191224NY01OtherANTHEM
NY110517OtherVYTRA
NY4C5470OtherHEALTHNET
NY113270992OtherHIP
NY2700989OtherGHI
NYP2090165OtherOXFORD
NY113270992OtherHEALTHCARE PARTNERS
NY61C021OtherBLUECROSS BLUE SHIELD
NY010191224NY01OtherANTHEM
NY4C5470OtherHEALTHNET