Dr Edward Sander Fobben, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Chatham, New Jersey. He went to University Of Nebraska College Of Medicine and graduated in 1983 and has 42 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Garden State Healthcare Associates Llc and his current practice location is
193 Noe Ave, Chatham, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(973) 377-0793.
Dr Edward Sander Fobben is licensed to practice in New Jersey (license number 25MA05251100) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235283946.
Physician's Profile
| Full Name | Dr Edward Sander Fobben |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 42 Years |
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| Location | 193 Noe Ave, Chatham, New Jersey |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Edward Sander Fobben attended and graduated from University Of Nebraska College Of Medicine in 1983
NPI Data:
- NPI Number: 1235283946
- Provider Enumeration Date: 01/22/2007
- Last Update Date: 12/05/2025
Medicare PECOS Information:
- PECOS PAC ID: 0840194825
- Enrollment ID: I20050718000185
Medical Identifiers
Medical identifiers for Dr Edward Sander Fobben such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1235283946 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | 5717242 (Utah) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 76291 (Tennessee) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 25MA05251100 (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Garden State Healthcare Associates Llc | 8426190687 | 131 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Edward Sander Fobben allows following entities to bill medicare on his behalf.
| Entity Name | Garden State Healthcare Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700014545
PECOS PAC ID: 8426190687
Enrollment ID: O20100126000693 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Edward Sander Fobben is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Edward Sander Fobben, MD
193 Noe Ave,
Chatham, NJ 07928-1507
Ph: (973) 377-0793 | Dr Edward Sander Fobben, MD
193 Noe Ave,
Chatham, NJ 07928-1507
Ph: (973) 377-0793 |
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