Fredric Haberman, M.D., P.a.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

25MB02235300 Issued in NJ

Legal business name

FREDRIC HABERMAN, M.D., P.A.

Doing business as

Affiliated Dermatology & Plastic Surgery Center

Practice address

50 Market St
Saddle Brook, NJ 07663-4843

Phone

(201) 368-0011

Fax

(201) 368-2380

NPI assigned

Jul 25, 2007

Last updated

Jan 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fredric Haberman, D.O.

Title

President

Phone

(201) 368-0011

Specialties & licenses 1

Addresses

Other names 1

• Affiliated Dermatology & Plastic Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1528258647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MARKET ST",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076634843",
            "telephone_number": "201-368-0011",
            "fax_number": "201-368-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MARKET ST",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076634843",
            "telephone_number": "201-368-0011",
            "fax_number": "201-368-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDRIC HABERMAN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "HABERMAN",
        "authorized_official_first_name": "FREDRIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-368-0011",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NJ",
            "license": "25MB02235300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affiliated Dermatology & Plastic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony J Fontana, DPT
• Hollis Forde III
• Christina Foschini
• Carla Foster, PT, DPT
• Zakaria A Fouad, DDS
• Christopher R Freund, D.P.T.
• Ft Mobility
• Laurie Jean Galvez
• Garden State Bilingual Psychiatry LLC
• Garden State Bilingual Psychiatry LLC

• Procedural Dermatology Physician in Saddle Brook, NJ
• Providers in Saddle Brook, NJ by specialty
• Procedural Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.