Provider Demographics
NPI:1871560474
Name:KADEN, IAN HOWARD (MD)
Entity type:Individual
Prefix:
First Name:IAN
Middle Name:HOWARD
Last Name:KADEN
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 1:8 CANTERBURY CT
Mailing Address - Street 2:
Mailing Address - City:MENDHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07945-2115
Mailing Address - Country:US
Mailing Address - Phone:973-927-4039
Mailing Address - Fax:
Practice Address - Street 1:121 CENTER GROVE RD
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:NJ
Practice Address - Zip Code:07869-4453
Practice Address - Country:US
Practice Address - Phone:973-328-6622
Practice Address - Fax:973-328-4495
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-02
Last Update Date:2024-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06136300207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6587305Medicaid
NJF06290Medicare UPIN
NJKA556839Medicare PIN