DR. KEITH KANIK (NPI# 1245481399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245481399 |
Entity Type | Individual |
Full Name | DR. KEITH KANIK |
Credential | M.D. |
Practice Address |
4 Friendship Ln West Long Branch NJ 07764-1287 |
Practice Telephone | 7322220109 |
Mailing Telephone | 7322220109 |
Enumeration Date | 2008-10-07 |
Last Update Date | 2018-10-03 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
25MA09671700 | NJ | Allopathic & Osteopathic Physicians |
N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
ME 67850 | FL | Allopathic & Osteopathic Physicians |
Street Address |
4 FRIENDSHIP LN |
City | WEST LONG BRANCH |
State | NJ |
Zip Code | 07764-1287 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659854461 | Melanie Ramp | Nurse Practitioner | 100 Route 36, Suite 2k Vantage Point Bldg, West Long Branch, NJ 07764 | 2018-09-08 |
1154849750 | Rosbel Maria Puello | Counselor | 232 Norwood Avenue Building #2, West Long Branch, NJ 07764 | 2017-09-03 |
1821445594 | Jsr Medical Services LLC | Clinic/Center | 214 State Highway 36, Suite 5, West Long Branch, NJ 07764 | 2016-05-23 |
1265831259 | Allied Digestive Health, LLC | Anesthesiology | 187 Route 36, Monmouth Corporate Park Center I;building A, Suite 230, West Long Beach, NJ 07764 | 2014-08-15 |
1669891180 | Christopher Charles Gillis | Neurological Surgery | 121 Route 36 Ste 330, West Long Branch, NJ 07764 | 2014-04-11 |
1336485309 | Christopher Ralph Castellano | Physician Assistant | Afc Urgent Care, 214 State Highway 36, West Long Beach, NJ 07764 | 2012-12-19 |
1457687337 | Danielle Monti Pfeiffer | Counselor | 232 Norwood Avenue, Building 2, West Long Branch, NJ 07764 | 2009-10-27 |
1770741084 | Subha Sundararajan | Internal Medicine | 60 Highway 35, Suite B, West Long Branch, NJ 07764 | 2008-05-23 |
1033376157 | Alexander G Lasalle | Social Worker | 24 Walnut Place, West Long Branch, NJ 07764 | 2008-05-16 |
1962610485 | Richard Dean Isaacson | Dentist | 103 Parker Road, West Long Branch, NJ 07764 | 2007-05-18 |
Find all providers in zip 07764 |
Taxonomy Code | 207RR0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Rheumatology |
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073932554 | Kiren P Sahni | Internal Medicine | 842 Broadway, West Long Branch, NJ 07764-1503 | 2014-04-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245894971 | Revive Rheumatology of North Jersey, LLC | Internal Medicine | 100 Willowbrook Ct, Paramus, NJ 07652-1833 | 2019-04-29 |
1669981221 | Center for Arthritis and Osteoporosis PC | Internal Medicine | 1235 Whitehorse Mercerville Rd Ste 206, Trenton, NJ 08619-3810 | 2017-09-27 |
1134642994 | Advocare, LLC | Internal Medicine | 1051 W Sherman Ave Ste C1b, Vineland, NJ 08360-6931 | 2017-07-24 |
1073035309 | Garden State Rheumatology Associates LLC | Internal Medicine | 101 Prospect St Ste 216, Lakewood, NJ 08701-5003 | 2017-07-07 |
1982009551 | Humane Center for Arthritis and Rheumatism | Internal Medicine | 2424 Morris Ave Ste 110, Union, NJ 07083-5710 | 2014-10-24 |
1912315938 | Kenneth Truitt | Internal Medicine | 385 Hartshorn Dr, Short Hills, NJ 07078-1939 | 2014-07-23 |
1669888376 | Sehris Khawaja | Internal Medicine | 2 Capital Way Ste 550, Pennington, NJ 08534-2521 | 2014-07-02 |
1821309154 | Nickolas M Tyris | Internal Medicine | 150 Delsea Dr, Suite B, Sewell, NJ 08080-9478 | 2010-07-01 |
1164741641 | Michael Jay Yellin | Internal Medicine | 138 Buckingham Rd, Montclair, NJ 07043-2307 | 2010-05-24 |
1992940860 | Alexandru Filip Kimel | Internal Medicine | 1415 Queen Anne Road, Suite 102, Teaneck, NJ 07666 | 2008-12-08 |
Find all providers with the same taxonomy |
City | WEST LONG BRANCH |
Zip Code | 07764 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.