Provider Demographics
NPI:1023095122
Name:KAYNAN, AYAL (MD)
Entity type:Individual
Prefix:DR
First Name:AYAL
Middle Name:
Last Name:KAYNAN
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:PO BOX 912
Mailing Address - Street 2:
Mailing Address - City:WHIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07981-0912
Mailing Address - Country:US
Mailing Address - Phone:973-206-8282
Mailing Address - Fax:973-599-1695
Practice Address - Street 1:261 JAMES ST
Practice Address - Street 2:SUITE 3A
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6392
Practice Address - Country:US
Practice Address - Phone:973-206-8282
Practice Address - Fax:973-599-1695
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA72413208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ340019035OtherRAILROAD MEDICARE ID
NJP2498259OtherOXFORD ID
NJJ20612OtherHEALTHNET ID
NJ2604861OtherAETNA ID
NJ2137084OtherUNITED HEALTHCARE
NJ2604861OtherAETNA ID
NJJ20612OtherHEALTHNET ID