Active NPI
Stanley J Haberman, M.D.
- Pediatric Adolescent Medicine Physician
- Hamilton, NJ
National Provider Identifier
1598720716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 25MA20770
- Practice address
- 3 Hamilton Health PL
Suite a
Hamilton, NJ 08690-3542 - Phone
- (609) 581-4480
- Fax
- (609) 581-5222
- NPI assigned
- Apr 19, 2006
- Last updated
- Jun 21, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 25MA20770 | NJ | Primary |
Addresses
Primary practice location
3 Hamilton Health PL
Suite a
Hamilton, NJ 08690-3542
Mailing address
3 Hamilton Health PL
Suite a
Hamilton, NJ 08690-3542
Phone (609) 581-4480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2528100 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA20770 | NJ | MD | Pediatric Adolescent Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340236800000",
"number": "1598720716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 HAMILTON HEALTH PL",
"address_2": "SUITE A",
"city": "HAMILTON",
"state": "NJ",
"postal_code": "086903542",
"telephone_number": "609-581-4480",
"fax_number": "609-581-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 HAMILTON HEALTH PL",
"address_2": "SUITE A",
"city": "HAMILTON",
"state": "NJ",
"postal_code": "086903542",
"telephone_number": "609-581-4480",
"fax_number": "609-581-5222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HABERMAN",
"first_name": "STANLEY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2012-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NJ",
"license": "25MA20770",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2528100",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hamilton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.