Active NPI
Steven Paul Waldman, M.D.
- Specialist
- North Bergen, NJ
National Provider Identifier
1861416364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MA07732700
- Practice address
- 8901 Kennedy Blvd
North Bergen, NJ 07047-5344 - Phone
- (201) 430-2022
- Fax
- (201) 243-7261
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 25MA07732700 | NJ | Primary |
| Specialist | 174400000X | 1587191 | NY |
Addresses
Primary practice location
8901 Kennedy Blvd
North Bergen, NJ 07047-5344
Mailing address
81 Kingswood Rd
Weehawken, NJ 07086-6908
Phone (201) 430-2022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Aug 17, 2017 through Aug 17, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1587191 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Humc Opco LLC | Current | Accepting new patients | |
| Anesthesia and Pain Management Group, LLC | Single Specialty | Past | Accepting new patients |
| New Jersey Brain & Spine PC | Single Specialty | Past | Accepting new patients |
| Advanced Rehabilitation and Pain Medicine | Past | Accepting new patients | |
| Advanced Rehabilitation and Pain Medicine Group, Inc. | Single Specialty | Past | Accepting new patients |
Interoperability endpoints
- steven.waldman@direct.hobokenumc.md
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pain Clinic/Center
- North Bergen, NJ
- NPI 1447553037
-
dba Atlas Spine and Interventional Medicine
- Interventional Pain Medicine Physician
- North Bergen, NJ
- NPI 1932469285
Single Specialty
-
dba Hoboken University Hospital
- General Acute Care Hospital
- Hoboken, NJ
- NPI 1043475668
-
- Anesthesiology Physician
- Millburn, NJ
- NPI 1114934213
Single Specialty
-
dba Comprehensive Neurosurgery
- Neurological Surgery Physician
- Paramus, NJ
- NPI 1063537470
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443398400000",
"number": "1861416364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 KINGSWOOD RD",
"city": "WEEHAWKEN",
"state": "NJ",
"postal_code": "070866908",
"telephone_number": "201-430-2022",
"fax_number": "201-243-7261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 KENNEDY BLVD",
"city": "NORTH BERGEN",
"state": "NJ",
"postal_code": "070475344",
"telephone_number": "201-430-2022",
"fax_number": "201-243-7261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDMAN",
"first_name": "STEVEN",
"middle_name": "PAUL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2015-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NJ",
"license": "25MA07732700",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "1587191",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Bergen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.