Provider Demographics
NPI:1164522363
Name:KAUFMAN, GREGORY JOEL (MD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:JOEL
Last Name:KAUFMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1896 MORRIS AVE
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-3535
Mailing Address - Country:US
Mailing Address - Phone:908-687-8282
Mailing Address - Fax:908-810-9363
Practice Address - Street 1:1896 MORRIS AVE
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-3535
Practice Address - Country:US
Practice Address - Phone:908-687-8282
Practice Address - Fax:908-810-9363
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2009-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA069449207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
043562Medicare ID - Type Unspecified
G26574Medicare UPIN