Provider Demographics
NPI:1760426894
Name:KAPOOR, AMEE PATEL (DO)
Entity Type:Individual
Prefix:DR
First Name:AMEE
Middle Name:PATEL
Last Name:KAPOOR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:AMEE
Other - Middle Name:P
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:270 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07740-7027
Mailing Address - Country:US
Mailing Address - Phone:732-923-7128
Mailing Address - Fax:732-222-2700
Practice Address - Street 1:270 BROADWAY
Practice Address - Street 2:
Practice Address - City:LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07740-7027
Practice Address - Country:US
Practice Address - Phone:732-923-7128
Practice Address - Fax:732-222-2700
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY234376-1208000000X
NJ25MB07846800208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4989684OtherCIGNA
NYTINOtherHORIZION HEALTHCARE
NYTINOtherHORIZION HEALTHCARE