Organization Active NPI

Steve Fallek MD

  • Plastic and Reconstructive Surgery Physician
  • Lyndhurst, NJ
National Provider Identifier
1780892109
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
STEVE FALLEK MD
Practice address
1050 Wall St W
Ste 360
Lyndhurst, NJ 07071-3621
Phone
(201) 821-7900
Fax
(201) 531-0550
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Authorized official

Name
Dr. Steve R Fallek, M.D.NPI 1548238280
Title
Preseident
Phone
(201) 821-7900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

1050 Wall St W
Ste 360
Lyndhurst, NJ 07071-3621

Mailing address

300 Sylvan Ave
Ste 301
Englewood, NJ 07632-2525
Phone (201) 541-4181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040610000037 NJ Part B Supplier - Clinic/Group Practice 5496738569 Receives reassigned benefits from 1 practitioner
Practice locations: Englewood Cliffs, NJ

National Provider Directory

National Provider Directory

Locations

300 Sylvan Ave
Ste 301
Englewood Cliffs, NJ 07632
Phone (201) 541-4181

Practitioners & affiliated clinicians

Practitioners 2

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": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1780892109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SYLVAN AVE",
            "address_2": "STE 301",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076322525",
            "telephone_number": "201-541-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 WALL ST W",
            "address_2": "STE 360",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070713621",
            "telephone_number": "201-821-7900",
            "fax_number": "201-531-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVE FALLEK MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "FALLEK",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESEIDENT",
        "authorized_official_telephone_number": "201-821-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.