Provider Demographics
NPI:1871695999
Name:KARL E. KADO, DPM
Entity type:Organization
Organization Name:KARL E. KADO, DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:KARL
Authorized Official - Middle Name:E
Authorized Official - Last Name:KADO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:732-219-7005
Mailing Address - Street 1:55 GILBERT STREET NORTH
Mailing Address - Street 2: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:732-219-7355
Practice Address - Street 1:55 N GILBERT ST
Practice Address - Street 2:SUITE 3104
Practice Address - City:TINTON FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07701-4955
Practice Address - Country:US
Practice Address - Phone:732-219-7005
Practice Address - Fax:732-219-7355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-01
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00266100213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU39531Medicare UPIN
5799600001Medicare NSC
NJU87393Medicare UPIN