Provider Demographics
NPI:1326093204
Name:KUGLER, EDWARD F (MD)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:F
Last Name:KUGLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:145 ROUTE 46 W
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-6830
Mailing Address - Country:US
Mailing Address - Phone:973-826-8283
Mailing Address - Fax:866-760-4568
Practice Address - Street 1:716 BROAD ST
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-1645
Practice Address - Country:US
Practice Address - Phone:973-777-1444
Practice Address - Fax:973-777-4488
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05679100207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ10767OtherAMERIGROUP MEDICAID HMO
NJ1256139OtherAETNA
NJ1356533624OtherGRP NPI SURGAIDE 2, LLC
NJ6061206Medicaid
NJ01004602600OtherAMERICHOICE MEDICAID HMO
NJ01004602602OtherAMERICHOICE MEDICAID HMO
NJ1790731271OtherGRP NPI COMPREHENSIVE WOMEN'S HEALTHCARE
NJPSL00009401OtherAMERICHOICE MEDICAID HMO
NJPSL00009403OtherAMERICHOICE MEDICAID HMO
NJ01004602603OtherAMERICHOICE MEDICAID HMO
NJ0974573OtherCIGNA
NJ1942321070OtherGRP NPI SURGAIDE 1, LLC
NJPSL00009404OtherAMERICHOICE MEDICAID HMO
NY180GD1OtherEMPIRE BCBS
NJP3670773OtherOXFORD HEALTHCARE
NJ01004602601OtherAMERICHOICE MEDICAID HMO
NJPSL00009401OtherAMERICHOICE MEDICAID HMO
NJ1356533624OtherGRP NPI SURGAIDE 2, LLC