Provider Demographics
NPI:1124190293
Name:KAYE, GARY LENARD (MD)
Entity type:Individual
Prefix:DR
First Name:GARY
Middle Name:LENARD
Last Name:KAYE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:GARY
Other - Middle Name:LENARD
Other - Last Name:KAYE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:31 S UNION AVE
Mailing Address - Street 2:
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-2843
Mailing Address - Country:US
Mailing Address - Phone:908-272-8676
Mailing Address - Fax:908-272-7052
Practice Address - Street 1:31 S UNION AVE
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-2843
Practice Address - Country:US
Practice Address - Phone:908-272-8676
Practice Address - Fax:908-272-7052
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNJMA031722207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC24493Medicare UPIN