VITALY FISHBEIN MD LLC NPI 1174709653

NPI Information

  • NPI: 1174709653
  • Provider Name: VITALY FISHBEIN MD LLC
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • Address: 401 PLEASANT VALLEY WAY
    WEST ORANGE, NJ
    ZIP 07052
  • Phone: (973) 736-1112

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NPI Details

VITALY FISHBEIN MD LLC is a gastroenterology internal medicine in West Orange, NJ. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. VITALY FISHBEIN MD LLC NPI is 1174709653. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

401 PLEASANT VALLEY WAY
WEST ORANGE, NJ
ZIP 07052-935
Phone: (973) 736-1112
Fax: (973) 736-5590

The provider's authorized official is Vitaly Fishbein .
The authorized official title is President and has the following contact phone number (973) 736-1112.

The enumeration date for this NPI number is 1/15/2008 and was last updated on 1/15/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZP0101XPathologyAnatomic PathologyMA07148100NEW JERSEYNo
2207RG0100XInternal MedicineGastroenterologyMA05902900NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F00153MEDICARE UPINNEW JERSEY
26000908MEDICAIDNEW JERSEY
3088978MEDICARE PINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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