Healthcare Provider Details

I. General information

NPI: 1972947125
Provider Name (Legal Business Name): ADAM HOWARD KAPLAN D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2013
Last Update Date: 03/13/2024
Certification Date: 03/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

346 SOUTH AVE STE 2
FANWOOD NJ
07023-1356
US

IV. Provider business mailing address

346 SOUTH AVE STE 2
FANWOOD NJ
07023-1356
US

V. Phone/Fax

Practice location:
  • Phone: 908-889-1660
  • Fax: 908-889-5257
Mailing address:
  • Phone: 908-889-1660
  • Fax: 908-889-5257

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number25MD00328700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: