Provider Demographics
NPI:1588898340
Name:DR. ALAN MEYERBERG
Entity type:Organization
Organization Name:DR. ALAN MEYERBERG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MEYERBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:718-948-3788
Mailing Address - Street 1:984 US HIGHWAY 9
Mailing Address - Street 2:STE. 1A
Mailing Address - City:PARLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08859-2033
Mailing Address - Country:US
Mailing Address - Phone:732-727-8811
Mailing Address - Fax:732-727-8581
Practice Address - Street 1:984 US HIGHWAY 9
Practice Address - Street 2:STE. 1A
Practice Address - City:PARLIN
Practice Address - State:NJ
Practice Address - Zip Code:08859-2033
Practice Address - Country:US
Practice Address - Phone:732-727-8811
Practice Address - Fax:732-727-8581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-08
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0212670002Medicare NSC