Active NPI
Kunj Jain, MD
- Urology Physician
- Newark, NJ
National Provider Identifier
1316525272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 1316525272
- Practice address
- 185 S Orange Ave
Newark, NJ 07103-2757 - Phone
- (732) 445-4636
- NPI assigned
- Mar 31, 2021
- Last updated
- Dec 6, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 1316525272 | NJ | Primary |
Addresses
Primary practice location
185 S Orange Ave
Newark, NJ 07103-2757
Mailing address
105 Hickory Hill Blvd
Totowa, NJ 07512-2193
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1316525272 | NJ | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701820800000",
"number": "1316525272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 HICKORY HILL BLVD",
"city": "TOTOWA",
"state": "NJ",
"postal_code": "075122193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 S ORANGE AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032757",
"telephone_number": "732-445-4636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAIN",
"first_name": "KUNJ",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-31",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NJ",
"license": "1316525272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.