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Contact Information

STEVEN C FISKE, MD
1500 PLEASANT VALLEY WAY, #306
NJ GASTRO
WEST ORANGE, NJ07052
 Phone: 973-325-5775
 Fax: 973-325-5770
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for STEVEN C FISKE · (Male)

NPI # 1093754236
Status Active
Credentials MD
Entity Individual
Enumeration date 06/05/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 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(s) Not Available
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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