Healthcare Provider Details
I. General information
NPI: 1427014083
Provider Name (Legal Business Name): KAYAL ORTHOPAEDIC CENTER, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/24/2006
Last Update Date: 10/29/2021
Certification Date: 10/11/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
784 FRANKLIN AVENUE SUITE 250
FRANKLIN LAKES NJ
07417
US
IV. Provider business mailing address
784 FRANKLIN AVENUE SUITE 250
FRANKLIN LAKES NJ
07417
US
V. Phone/Fax
- Phone: 201-447-3880
- Fax: 201-447-9326
- Phone: 201-447-3880
- Fax: 201-447-9326
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ROBERT
A.
KAYAL
Title or Position: OWNER/CEO/PRESIDENT
Credential: MD
Phone: 201-560-0711