Kearny Medical Associates PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA073494 Issued in NJ

Legal business name

KEARNY MEDICAL ASSOCIATES PC

Practice address

728 Kearny Ave
Kearny, NJ 07032-3048

Phone

(201) 955-0660

Fax

(201) 955-0663

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Oleg Frank

Title

M.D

Phone

(201) 955-0660

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1568506152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070323048",
            "telephone_number": "201-955-0660",
            "fax_number": "201-955-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070323048",
            "telephone_number": "201-955-0660",
            "fax_number": "201-955-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEARNY MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "M.D",
        "authorized_official_telephone_number": "201-955-0660"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA073494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MA073494",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8773602",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Kearny, NJ
• Providers in Kearny, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.