Organization Active NPI

Jonathan Haber DPM PA

Doing business as Jonathan A Haber DPM

  • Podiatrist
  • Caldwell, NJ
National Provider Identifier
1255536561
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00100400 Issued in NJ
Legal business name
JONATHAN HABER DPM PA
Doing business as
Jonathan A Haber DPM
Practice address
519 Bloomfield Ave
Suite L 18
Caldwell, NJ 07006-5550
Phone
(973) 228-5042
Fax
(973) 228-2826
NPI assigned
Jun 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Authorized official

Name
Ms. Cheryl A Hudson, CMA
Title
Office Manager
Phone
(972) 228-5042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 25MD00100400 NJ Primary

Addresses

Primary practice location

519 Bloomfield Ave
Suite L 18
Caldwell, NJ 07006-5550

Mailing address

519 Bloomfield Ave
Suite L 18
Caldwell, NJ 07006-5550
Phone (973) 228-5042

Other identifiers 3

IdentifierTypeStateIssuer
8148782OtherNJCIGNA
0K3825OtherNJHEALTHNET PIN
P402424OtherNJOXFORD PIN

Other names 1

  • Jonathan A Haber DPM Doing business as

National Provider Directory

National Provider Directory

Locations

519 Bloomfield Ave
Apt L18
Caldwell, NJ 07006
Phone (973) 228-5042

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1255536561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 BLOOMFIELD AVE",
            "address_2": "SUITE L 18",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065550",
            "telephone_number": "973-228-5042",
            "fax_number": "973-228-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 BLOOMFIELD AVE",
            "address_2": "SUITE L 18",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065550",
            "telephone_number": "973-228-5042",
            "fax_number": "973-228-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN HABER DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-228-5042",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CMA"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00100400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8148782",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET PIN",
            "identifier": "0K3825",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PIN",
            "identifier": "P402424",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jonathan A Haber DPM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Caldwell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.