Provider Demographics
NPI:1902937576
Name:JAMES E. HABERMAN, M.D., P.A.
Entity Type:Organization
Organization Name:JAMES E. HABERMAN, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:HABERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-688-4000
Mailing Address - Street 1:2333 MORRIS AVE STE C103
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-5717
Mailing Address - Country:US
Mailing Address - Phone:908-688-4000
Mailing Address - Fax:908-688-1717
Practice Address - Street 1:2333 MORRIS AVE STE C103
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-5717
Practice Address - Country:US
Practice Address - Phone:908-688-4000
Practice Address - Fax:908-688-1717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2022-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04964000207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0477136OtherAETNA HEALTH PLANS
ES304OtherOXFORD
NJ2966301Medicaid
NJ0465909Medicaid
C61814Medicare UPIN
NJ1205300001Medicare NSC
0477136OtherAETNA HEALTH PLANS
ES304OtherOXFORD