Provider Demographics
NPI:1447291968
Name:MATH, KEVIN (MD)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:
Last Name:MATH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10 EXCHANGE PL
Mailing Address - Street 2:14TH FLOOR
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-3918
Mailing Address - Country:US
Mailing Address - Phone:201-830-3200
Mailing Address - Fax:201-200-0838
Practice Address - Street 1:424 E 89TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-6703
Practice Address - Country:US
Practice Address - Phone:212-410-5100
Practice Address - Fax:212-410-2500
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2021-04-14
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Provider Licenses
StateLicense IDTaxonomies
NY1793142085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01485249Medicaid
NYA400001057Medicare PIN
NY01485249Medicaid