Kamal K. Dutta LLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

25MA04150200 Issued in NJ

Legal business name

KAMAL K. DUTTA LLC

Practice address

426 Passaic Ave
Lodi, NJ 07644-1534

Phone

(973) 777-9889

Fax

(973) 779-1689

NPI assigned

Oct 2, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Kamal Kumar Dutta, MDNPI 1952433062

Title

President

Phone

(973) 777-9889

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kamal Kumar Dutta, M.D.

  • Obstetrics & Gynecology Physician
  • Lodi, NJ
  • NPI 1952433062
  Medicare reassignment NPD Authorized official
• Arumugam Gunasekaran, M.D.

  • Surgery Physician
  • Brooklyn, NY
  • NPI 1710002597
  NPD (past)

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1750784831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 PASSAIC AVE",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076441534",
            "telephone_number": "973-777-9889",
            "fax_number": "973-779-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 PASSAIC AVE",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076441534",
            "telephone_number": "973-777-9889",
            "fax_number": "973-779-1689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMAL K. DUTTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "DUTTA",
        "authorized_official_first_name": "KAMAL",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-777-9889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NJ",
            "license": "25MA04150200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gynecology Physician in Lodi, NJ
• Providers in Lodi, NJ by specialty
• Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.