Active NPI
Walter J Kahn, M.D.
- Ophthalmology Physician
- Red Bank, NJ
National Provider Identifier
1669452660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MA017727
- Practice address
- 70 E Front St
Red Bank, NJ 07701-1851 - Phone
- (732) 741-0858
- Fax
- (732) 219-0180
- NPI assigned
- Jan 18, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MA017727 | NJ | Primary |
Addresses
Primary practice location
70 E Front St
Red Bank, NJ 07701-1851
Mailing address
70 E Front St
Red Bank, NJ 07701-1851
Phone (732) 741-0858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2381702 | Medicaid | NJ |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA017727 | NJ | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midatlantic Eye Center Inc | Current | Accepting new patients |
Locations
70 E Front St
Red Bank, NJ 07701
Phone (732) 741-0858
70 E Front St
Fl 4
Red Bank, NJ 07701
Phone (732) 741-0858
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/N6G4uZFC_0VHckv5d67VADXkySFwDJK1/
Organizations & group practices 1
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.
-
- Ophthalmologic Surgery Clinic/Center
- Red Bank, NJ
- NPI 1366414633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669452660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 E FRONT ST",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077011851",
"telephone_number": "732-741-0858",
"fax_number": "732-219-0180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 E FRONT ST",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077011851",
"telephone_number": "732-741-0858",
"fax_number": "732-219-0180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHN",
"first_name": "WALTER",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NJ",
"license": "MA017727",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2381702",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Red Bank, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.