Vitaly Fishbein MD LLC
Organization Active NPI Gastroenterology Physician · West Orange, NJ
NPI 1174709653 · NPPES record last updated Jan 15, 2008
Key facts
- NPI
- 1174709653
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- MA05902900 (NJ)
- Legal business name
- VITALY FISHBEIN MD LLC
- Practice address
- 401 Pleasant Valley Way
West Orange, NJ 07052-2935 - Phone
- (973) 736-1112
- Fax
- (973) 736-5590
- NPI assigned
- Jan 15, 2008
- Organization subpart
- No
Authorized official
- Name
- Vitaly Fishbein, M.D.
- Title
- President
- Phone
- (973) 736-1112
National Provider Directory
Locations
401 Pleasant Valley Way
West Orange, NJ 07052
Phone (973) 669-5931
401 Pleasant Valley Way
Ste 1
West Orange, NJ 07052
Phone (973) 736-1112
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician |
207RG0100X | MA05902900 | NJ | Yes |
| Anatomic Pathology Physician |
207ZP0101X | MA07148100 | NJ |
Addresses
Primary practice location
401 Pleasant Valley Way
West Orange, NJ 07052-2935
Mailing address
401 Pleasant Valley Way
West Orange, NJ 07052-2935
Phone (973) 736-1112
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6000908 | Medicaid | NJ |
Other providers in West Orange, NJ
- Roy W Vincent
- Haley Vinick
- Eduardo Jose Viquez Mora
- Merry Jessica Virgile
- Vital Health Services
- Vna Health Group of New Jersey, LLC
- Vna Health Group of New Jersey, LLC
- Loren Vocaturo
- Claudia C. Volpe
- Shefali Vyas
All providers in West Orange, NJ · Gastroenterology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.