Provider Demographics
NPI:1174687578
Name:MITCHELL STEINWAY MD
Entity type:Organization
Organization Name:MITCHELL STEINWAY MD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:
Authorized Official - Last Name:STEINWAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-863-9597
Mailing Address - Street 1:323 WASHINGTON STREET
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030
Mailing Address - Country:US
Mailing Address - Phone:201-963-9597
Mailing Address - Fax:201-963-0034
Practice Address - Street 1:323 WASHINGTON STREET
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030
Practice Address - Country:US
Practice Address - Phone:201-963-9597
Practice Address - Fax:201-963-0034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA 33907207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0388807Medicaid
NJ0388807Medicaid
D19214Medicare UPIN