Provider Demographics
NPI:1881611333
Name:STEINBAUM, NORMAN
Entity type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:
Last Name:STEINBAUM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 OLD HOOK ROAD
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07675-2732
Mailing Address - Country:US
Mailing Address - Phone:201-664-8989
Mailing Address - Fax:201-664-5106
Practice Address - Street 1:400 OLD HOOK ROAD
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07675-2732
Practice Address - Country:US
Practice Address - Phone:201-664-8989
Practice Address - Fax:201-664-5106
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA023591100207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2894602Medicaid
C61632Medicare UPIN
057556Medicare ID - Type Unspecified