Individual provider Active NPI

Steven Joel Faigenbaum, M.D.

  • Ophthalmology Physician
  • Bridgewater, NJ
National Provider Identifier
1235226978
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA03144400 Issued in NJ
Practice address
201 Union Ave
Building 1, Suite G
Bridgewater, NJ 08807-3002
Phone
(908) 526-4588
Fax
(908) 231-6718
NPI assigned
Oct 6, 2006
Last updated
Aug 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MA03144400 NJ Primary

Addresses

Primary practice location

201 Union Ave
Building 1, Suite G
Bridgewater, NJ 08807-3002

Mailing address

201 Union Ave
Building 1, Suite G
Bridgewater, NJ 08807-3002
Phone (908) 526-4588

Other identifiers 7

IdentifierTypeStateIssuer
0548380OtherNJCIGNA
34067OtherNJAETNA
F14419OtherNJHEALTHNET
P3600067OtherNJOXFORD FREEDOM
180045402OtherNJRAILROAD MEDICARE
0666904MedicaidNJ
0072855000OtherNJAMERIHEALTH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adrake@hhsnj.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041206000914 NJ Practitioner - Ophthalmology 5294791828 Reassigns benefits to 1 organization
Practice locations: Bridgewater, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA03144400NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paul Phillips Eye & Surgery Center PC Ophthalmology CurrentSince Sep 1, 2016 Accepting new patients
Paul Phillips Eye & Surgery Center PC Ophthalmology CurrentSince Sep 1, 2016 Accepting new patients

Locations

1 Monroe St
Bridgewater, NJ 08807
Phone (908) 526-4588

64 Walmart Plz
Clinton, NJ 08809
Phone (908) 735-4100

6B Minneakoning Rd
Flemington, NJ 08822
Phone (908) 824-7144

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: steven.faigenbaum.p17@direct.hunterdon.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1235226978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 UNION AVE",
            "address_2": "BUILDING 1, SUITE G",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073002",
            "telephone_number": "908-526-4588",
            "fax_number": "908-231-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 UNION AVE",
            "address_2": "BUILDING 1, SUITE G",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073002",
            "telephone_number": "908-526-4588",
            "fax_number": "908-231-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIGENBAUM",
        "first_name": "STEVEN",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA03144400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0548380",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "34067",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "F14419",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD FREEDOM",
            "identifier": "P3600067",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180045402",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0666904",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0072855000",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adrake@hhsnj.org",
            "affiliation": "N",
            "endpointDescription": "NextGen EMR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6B Minneakoning Rd",
            "city": "Flemington",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088225799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

Verify at the official NPI Registry.