Provider Demographics
NPI:1841251121
Name:KADO, KARL E (DPM)
Entity type:Individual
Prefix:
First Name:KARL
Middle Name:E
Last Name:KADO
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 GILBERT STREET NORTH
Mailing Address - Street 2:BLDG 3 SUITE 3104
Mailing Address - City:TINTON FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07701
Mailing Address - Country:US
Mailing Address - Phone:732-219-7005
Mailing Address - Fax:732-219-7665
Practice Address - Street 1:55 GILBERT STREET NORTH
Practice Address - Street 2:BLDG 3 SUITE 3104
Practice Address - City:TINTON FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07701
Practice Address - Country:US
Practice Address - Phone:732-219-7005
Practice Address - Fax:732-219-7665
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-28
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMD02162213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU39531Medicare UPIN
NJ500561Medicare ID - Type UnspecifiedINDIVIDUAL