Provider Demographics
NPI:1134188378
Name:KAUFMAN, MATTHEW R (MD)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:R
Last Name:KAUFMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:200 SCHULZ DR STE 2
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-6745
Mailing Address - Country:US
Mailing Address - Phone:732-426-3420
Mailing Address - Fax:732-747-2606
Practice Address - Street 1:331 NEWMAN SPRINGS RD STE 200
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-5691
Practice Address - Country:US
Practice Address - Phone:732-426-3420
Practice Address - Fax:732-747-2606
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA808172086S0122X
FLME1306272086S0122X
NY2153132086S0122X
NJ25MA078779002086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0072443Medicaid
P3627241OtherOXFORD
P3627241OtherOXFORD
I33379Medicare UPIN