Provider Demographics
NPI:1801892732
Name:CINBERG, JAMES Z (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:Z
Last Name:CINBERG
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 1:219 S BROAD ST
Mailing Address - Street 2:STE 3
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07202-3453
Mailing Address - Country:US
Mailing Address - Phone:908-527-1717
Mailing Address - Fax:908-527-1710
Practice Address - Street 1:219 S BROAD ST
Practice Address - Street 2:STE 3
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07202-3453
Practice Address - Country:US
Practice Address - Phone:908-527-1717
Practice Address - Fax:908-527-1710
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-24
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04505500174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ459700Medicare ID - Type UnspecifiedPROVIDER NUMBER
NJB12774Medicare UPIN