James E. Haberman, M.D., P.a.
Organization Active NPI Ophthalmology Physician · Union, NJ
NPI 1902937576 · NPPES record last updated Aug 6, 2022
Key facts
- NPI
- 1902937576
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 25MA04964000 (NJ)
- Legal business name
- JAMES E. HABERMAN, M.D., P.A.
- Practice address
- 2333 Morris Ave Ste C103
Union, NJ 07083-5717 - Phone
- (908) 688-4000
- Fax
- (908) 688-1717
- NPI assigned
- Mar 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. James E. Haberman, M.D.
- Title
- President
- Phone
- (908) 688-4000
Practitioners 6
-
James E. Haberman, M.D.
-
Justin Gutman, M.D.
-
Ahmad Rehmani, DO
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050322000810 | NJ | Part B Supplier - Clinic/Group Practice | 8224084322 |
Receives reassigned benefits from 6 practitioners Practice locations: Belleville, NJ; Bloomfield, NJ; Union, NJ |
| O20100930040687 | NJ | DME Supplier - Physician - Ophthalmology | 8224084322 | Practice locations: Union, NJ |
National Provider Directory
Locations
95 Madison Ave
Ste A03
Morristown, NJ 07960
Phone (973) 605-1114
2401 Morris Ave
#3W
Union, NJ 07083
Phone (908) 688-4000
2401 Morris Ave
Ste 14
Union, NJ 07083
2401 Morris Ave
Ste 3W
Union, NJ 07083
2401 Morris Ave
Ste W311
Union, NJ 07083
Interoperability endpoints
- jhaberman@eelsc.intellechartdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
207W00000X | 25MA04964000 | NJ | Yes |
Addresses
Primary practice location
2333 Morris Ave Ste C103
Union, NJ 07083-5717
Mailing address
2333 Morris Ave Ste C103
Union, NJ 07083-5717
Phone (908) 688-4000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0477136 | Other | AETNA HEALTH PLANS | |
| ES304 | Other | OXFORD | |
| 2966301 | Medicaid | NJ | |
| 0465909 | Medicaid | NJ |
Other providers in Union, NJ
- Joanne Loren Jacalan
- Jack F Altomonte DMD PA
- Pamela Kenna Jackson
- Bruce M Jacobson
- Prerna Jain
- Bnay James
- Charita James
- Jammu-Greene Dental LLC
- Genesis Jara
- Aaron V Javier
All providers in Union, NJ · Ophthalmology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.