Organization Active NPI

Kenneth D Nahum DO PC

  • Hematology & Oncology Physician
  • Howell, NJ
National Provider Identifier
1669578365
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
25MB04108600 Issued in NJ
Legal business name
KENNETH D NAHUM DO PC
Practice address
4632 US Highway 9
Howell, NJ 07731-3319
Phone
(732) 367-1535
Fax
(732) 367-9514
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Kenneth D. Nahum
Title
President/ Doctor
Phone
(732) 367-1535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RH0003X 25MB04108600 NJ Primary

Addresses

Primary practice location

4632 US Highway 9
Howell, NJ 07731-3319

Mailing address

4632 US Highway 9 S
Howell, NJ 07731-3380
Phone (732) 367-1535

Other identifiers 1

IdentifierTypeStateIssuer
7026200MedicaidNJ

National Provider Directory

National Provider Directory

Locations

4632 US Highway 9
Howell, NJ 07731
Phone (732) 367-1535

1540 State Route 138
Ste 202
Wall, NJ 07719
Phone (732) 477-0997

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1669578365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4632 US HIGHWAY 9 S",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313380",
            "telephone_number": "732-367-1535",
            "fax_number": "732-367-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4632 US HIGHWAY 9",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313319",
            "telephone_number": "732-367-1535",
            "fax_number": "732-367-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH D NAHUM DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "NAHUM",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT/ DOCTOR",
        "authorized_official_telephone_number": "732-367-1535"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MB04108600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7026200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.