Jeffrey Samuel Kaiden, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA03386500 Issued in NJ

Practice address

300 Fairview Avenue
Westwood, NJ 07675

Phone

(201) 666-4014

Fax

(201) 666-4754

NPI assigned

Apr 25, 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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1871559005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 698",
            "address_2": "300 FAIRVIEW AVENUE",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "07675",
            "telephone_number": "201-666-4014",
            "fax_number": "201-666-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FAIRVIEW AVENUE",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "07675",
            "telephone_number": "201-666-4014",
            "fax_number": "201-666-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAIDEN",
        "first_name": "JEFFREY",
        "middle_name": "SAMUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA03386500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "222103828",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "438103",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "180011364",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Johnson, OT
• Victoria Rose Johnson, LCSW
• Jessica Joy, DPT, PT
• Gabriela Juniewicz, PA-C
• Samantha Christine Jurgens, LCSW
• Pankaj Kakkar, M.D
• Kathleen Kalish
• Laura Kandelshein
• Maureen Kane, APN
• Sae Kang

• Ophthalmology Physician in Westwood, NJ
• Providers in Westwood, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.