Provider Demographics
NPI:1710976519
Name:KAUFMAN, WILLIAM NATHAN (DO)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:NATHAN
Last Name:KAUFMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:200 WHITE RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:LITTLE SILVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07739-1150
Mailing Address - Country:US
Mailing Address - Phone:732-741-3331
Mailing Address - Fax:732-741-5119
Practice Address - Street 1:200 WHITE RD
Practice Address - Street 2:SUITE 105
Practice Address - City:LITTLE SILVER
Practice Address - State:NJ
Practice Address - Zip Code:07739-1150
Practice Address - Country:US
Practice Address - Phone:732-741-3331
Practice Address - Fax:732-741-5119
Is Sole Proprietor?:No
Enumeration Date:2005-10-14
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB02951100207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0252506Medicaid
KA144413Medicare ID - Type Unspecified
D19986Medicare UPIN