National Provider Identifier Database

STEVEN C FISKE, MD – NPI #1093754236
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Contact Information

STEVEN C FISKE, MD
1500 PLEASANT VALLEY WAY, #306
NJ GASTRO
WEST ORANGE, NJ  07052
Phone: 973-325-5775
Fax: 973-325-5770
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for STEVEN C FISKE

NPI Number 1093754236
Credentials MD
Entity Individual
Enumeration date 06/05/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor1 Yes
Identifiers
  • NJ License #: MA34473
  • NJ Medicaid: 2000407
  • NJ Other: 4093402 AETNA ALL OTHER PLANS
  • NJ Other: 0041150 AETNA HMO
  • NJ Other: HUL00021200 AMERICHOICE
  • NJ Other: 0068449700 AMERIHEALTH GROUP
  • NJ Other: 0077496000 AMERIHEALTH INDIVIDUAL
  • NJ Other: DO25009 CDS
  • NJ Other: 31D0105815 CLIA#
  • NJ Other: OK5988 HEALTHNET
  • NJ Other: 1072840 HORIZON NJ HEALTH
  • NJ Other: BS008 OXFORD ID#
  • NJ Other: 222261434 TAX ID #
  • NJ Other: 654866 UNITED HEALTHCARE
  • NJ Other: 21626 UNIV. HEALTH PLAND(UHP)
Hospital affiliation n/a

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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