Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | MA72413 | NJ |
NPI | 1023095122 |
---|---|
Provider Name | Dr. Ayal Kaynan |
First Address | Whippany, NJ 07981-0912 |
Second Address | Morristown, NJ 07960-6392 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2005 |
Last Update Date | 10/02/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2137084 | UNITED HEALTHCARE (01) | NJ |
2604861 | AETNA ID (01) | NJ |
340019035 | RAILROAD MEDICARE ID (01) | NJ |
H34910 | (02) | NJ |
J20612 | HEALTHNET ID (01) | NJ |
P2498259 | OXFORD ID (01) | NJ |