Indira Kanouka, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA07462700 Issued in NJ

Practice address

32 N Main St
Marlboro, NJ 07746-1429

Phone

(732) 462-4100

NPI assigned

Oct 26, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alliance Community Healthcare, Inc.

  • Federally Qualified Health Center (FQHC)
  • Jersey City, NJ
  • NPI 1285662684
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1023193356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MANOR DR",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461969",
            "telephone_number": "732-598-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 N MAIN ST",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461429",
            "telephone_number": "732-462-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANOUKA",
        "first_name": "INDIRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07462700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jersey Shore Geriatrics Inc
• Jersey Shore Geriatrics LLC
• JJMV Medspa LLC
• Kaga Enterprises Inc (The Kaga Institute)
• Mira Kamal Kaga, M.D.
• Linda Joy Karas, MS CCC -SLP
• Jonathan Philip Karp, PH.D.
• Maday Karp, PSY.D.
• Jonathan Katz, CRNA
• Marvin A. Kaufman, DDS

• Internal Medicine Physician in Marlboro, NJ
• Providers in Marlboro, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.