Kevin J Egan, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MAO59904 Issued in NJ

Practice address

200 S Orange Ave Ste 230
Livingston, NJ 07039-5817

Phone

(973) 322-7223

NPI assigned

Oct 4, 2006

Sex

Male

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

State licenses

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.

• Center for Orthopaedics, PA

  • Orthopaedic Surgery Physician
  • West Orange, NJ
  • NPI 1194810804
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1669567368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 CAVELL PL",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067901",
            "telephone_number": "973-420-4806",
            "fax_number": "973-669-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S ORANGE AVE STE 230",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395817",
            "telephone_number": "973-322-7223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Pleasant Valley Way",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "West Orange",
            "state": "NJ",
            "postal_code": "070522956",
            "country_code": "US",
            "telephone_number": "973-669-5600 x134",
            "fax_number": "973-669-0199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EGAN",
        "first_name": "KEVIN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "MAO59904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Eckert, NP
• Eden Family Dental LLC
• Petra Purdona Edmunds, PT
• Simone Edwards, MA - COUNSELOR
• Wendy S Edwards, MD
• Michael Eglow, DPM
• Sierra Ehlers, PA
• Paul Ehrenfeld
• Howard Ehrenkranz, D.M.D., PA
• Carol Eisenstat, M.D.

• Orthopaedic Surgery Physician in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Orthopaedic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.