Provider Demographics
NPI:1548295413
Name:NORTH JERSEY HAND SURGERY PA
Entity type:Organization
Organization Name:NORTH JERSEY HAND SURGERY PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABRAM
Authorized Official - Middle Name:E
Authorized Official - Last Name:KIRSCHENBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-664-9899
Mailing Address - Street 1:75 BLOOMFIELD AVENUE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834-2735
Mailing Address - Country:US
Mailing Address - Phone:973-664-9899
Mailing Address - Fax:973-664-1875
Practice Address - Street 1:75 BLOOMFIELD AVENUE
Practice Address - Street 2:SUITE 102
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-2735
Practice Address - Country:US
Practice Address - Phone:973-664-9899
Practice Address - Fax:973-664-1875
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTH JERSEY HAND SURGERY PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-11
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Multi-Specialty
No2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the HandGroup - Multi-Specialty
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5291990003Medicare NSC
NJ045156Medicare PIN