Samuel Kaye, MD
Individual provider Active NPI Pediatrics Physician · West Orange, NJ
NPI 1376606129 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376606129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 25MA02108800 (NJ)
- Practice address
- 3 Cunningham Drive
West Orange, NJ 07052-2202 - Phone
- (973) 736-3399
- Fax
- (973) 736-3049
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA02108800 | NJ | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA02108800 | NJ | Yes |
Addresses
Primary practice location
3 Cunningham Drive
West Orange, NJ 07052-2202
Mailing address
3 Cunningham Drive
West Orange, NJ 07052-2202
Phone (973) 736-3399
Other providers in West Orange, NJ
- Kasefa Foundation
- Francesca Kaspar
- Alexandra Zisimos Katsoudas
- Katura Health LLC
- Scott Steven Katzman
- Megan Keane-Tarchichi
- Keith Golin PHD LLC
- Michael Kelly
- Tiffany Kendig
- Kennedy R Opoku Occupational Therapy PC
All providers in West Orange, NJ · Pediatrics Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.