Provider Demographics
NPI:1013007459
Name:KASPER, ANDREW (ANDREW KASPER, MD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:KASPER
Suffix:
Gender:M
Credentials:ANDREW KASPER, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 E ALLENDALE RD
Mailing Address - Street 2:SUITE 3-A
Mailing Address - City:SADDLE RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07458-3057
Mailing Address - Country:US
Mailing Address - Phone:201-825-3933
Mailing Address - Fax:201-236-1460
Practice Address - Street 1:82 E ALLENDALE RD
Practice Address - Street 2:SUITE 3-A
Practice Address - City:SADDLE RIVER
Practice Address - State:NJ
Practice Address - Zip Code:07458-3057
Practice Address - Country:US
Practice Address - Phone:201-825-3933
Practice Address - Fax:201-236-1460
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA40604207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC56281Medicare UPIN