MEDICARE: EMERGENCY ASSOCIATES OF KEARNY, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician		NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013918002
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMERGENCY ASSOCIATES OF KEARNY, P.A.

Provider Business Mailing Address
First Line	:	66 W GILBERT ST
Second Line	:	2ND FLOOR
City	:	TINTON FALLS
State	:	NJ
Zip	:	07701-4918
Country	:	US
Telephone Number	:	732-212-0051
Fax Number	:	732-212-0713

Provider Business Practice Location Address
First Line	:	206 BERGEN AVE
Second Line	:
City	:	KEARNY
State	:	NJ
Zip	:	07032-3324
Country	:	US
Telephone Number	:	201-955-7000
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOSEPH JOHN CALABRO
Credential	:	DO
Telephone Number	:	732-212-0060

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	07/21/2022

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