1326093204 NPI number — EDWARD F KUGLER M.D.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326093204 NPI number — EDWARD F KUGLER M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KUGLER
Provider First Name:
EDWARD
Provider Middle Name:
F
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326093204
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/12/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
145 ROUTE 46 W
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WAYNE
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07470-6830
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
973-826-8283
Provider Business Mailing Address Fax Number:
866-760-4568

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
716 BROAD ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CLIFTON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07013-1645
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-777-1444
Provider Business Practice Location Address Fax Number:
973-777-4488
Provider Enumeration Date:
05/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , with the licence number:  25MA05679100 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 10767 . This is a "AMERIGROUP MEDICAID HMO" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 1256139 . This is a "AETNA" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 1356533624 . This is a "GRP NPI SURGAIDE 2, LLC" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 6061206 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01004602600 . This is a "AMERICHOICE MEDICAID HMO" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 01004602602 . This is a "AMERICHOICE MEDICAID HMO" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 1790731271 . This is a "GRP NPI COMPREHENSIVE WOMEN'S HEALTHCARE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: PSL00009401 . This is a "AMERICHOICE MEDICAID HMO" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: PSL00009403 . This is a "AMERICHOICE MEDICAID HMO" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 01004602603 . This is a "AMERICHOICE MEDICAID HMO" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 0974573 . This is a "CIGNA" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 1942321070 . This is a "GRP NPI SURGAIDE 1, LLC" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: PSL00009404 . This is a "AMERICHOICE MEDICAID HMO" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 180GD1 . This is a "EMPIRE BCBS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P3670773 . This is a "OXFORD HEALTHCARE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 01004602601 . This is a "AMERICHOICE MEDICAID HMO" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




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