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Contact Information

MARK R GERSHENBAUM, DO
901 WEST MAIN ST
FREEHOLD TOWNSHIP, NJ07728
 Phone: 732-294-2666
 Fax: 732-431-8267
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MARK R GERSHENBAUM · (Male)

NPI Number 1982665782
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/31/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # 25MB04672200
  • NJ Medicaid 5453101
  • Other P00153530 RAILROAD MEDICARE
Hospital affiliation(s)
  • CENTRASTATE MEDICAL CENTER - (Acute Care)
    901 WEST MAIN STREET
    FREEHOLD, NJ 07728
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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