Vitaly Fishbein Md Llc
LBN: Vitaly Fishbein Md Llc
Vitaly Fishbein Md Llc is an health care organization with primary practice located at 401 Pleasant Valley Way , West Orange NJ 07052-2935. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Gastroenterology is the primary health care specialty.
Vitaly Fishbein Md Llc can be contacted via phone (973) 736-1112, or through Fishbein, Vitaly via phone (973) 736-1112.
Contact Information
Primary practice address
401 Pleasant Valley Way
West Orange NJ 07052-2935
Phone: (973) 736-1112
Fax: (973) 736-5590
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MA05902900 | New Jersey |
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | MA07148100 | New Jersey |
Profile Details
| NPI number | 1174709653 |
|---|---|
| LBN Legal business name | Vitaly Fishbein Md Llc |
| DBA Doing business as | |
| Authorized official | Fishbein, Vitaly Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 15th, 2008 |
| Last updated | Jan 15th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174709653 | NPPES |
| New Jersey | MEDICAID | 6000908 |
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