Provider Demographics
NPI:1366416240
Name:FRANKE, HUBERT ROMAN (MD)
Entity type:Individual
Prefix:DR
First Name:HUBERT
Middle Name:ROMAN
Last Name:FRANKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:78 WOODLAND RD
Mailing Address - Street 2:APT 3
Mailing Address - City:SHORT HILLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07078-2438
Mailing Address - Country:US
Mailing Address - Phone:973-738-2339
Mailing Address - Fax:
Practice Address - Street 1:1985 HIGHWAY 34
Practice Address - Street 2:UNIT A8
Practice Address - City:WALL
Practice Address - State:NJ
Practice Address - Zip Code:07719
Practice Address - Country:US
Practice Address - Phone:732-655-6111
Practice Address - Fax:732-974-7044
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA080079002085R0202X, 208D00000X
FLME 993922085R0202X
PAMD4304582085R0202X
CAA905512085R0202X
NY237589-22085R0202X
NY237589-1208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02709539Medicaid
I44911Medicare UPIN
NY737U41Medicare ID - Type Unspecified