Healthcare Provider Details
I. General information
NPI: 1922419167
Provider Name (Legal Business Name): MICHAEL JASON KAUFER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/09/2014
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
727 N BEERS ST
HOLMDEL NJ
07733-1514
US
IV. Provider business mailing address
1001 WHISPERING WAY APT 138
ABERDEEN NJ
07747-1981
US
V. Phone/Fax
- Phone: 732-739-5900
- Fax:
- Phone: 201-925-0602
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | 25MA10280100 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: