Kenneth J Donovan (NPI# 1588804132, PAC ID# 6305038118) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1588804132 |
| PAC ID by PECOS | 6305038118 |
| Professional Enrollment ID | I20101012001158 |
| Full Name | Kenneth J Donovan |
| Address |
9 Mount Bethel Rd Suite 209 Warren NJ 07059-5603 |
| Gender | M |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310076 | SAINT BARNABAS MEDICAL CENTER |
| 310048 | ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET |
| Address | Phone | Organization |
|---|---|---|
| 104 Commons Way A, Toms River, NJ 08755-6426 | ||
| 9 Mount Bethel Rd, Suite 209, Warren, NJ 07059-5603 |
| Street Address |
9 MOUNT BETHEL RD SUITE 209 |
| City | WARREN |
| State | NJ |
| Zip | 07059-5603 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rekha Agrawal | Internal Medicine | 5 Mountain Blvd, Suite 3, Warren, NJ 07059-2625 | |
| David J Jacobs | Physical Medicine and Rehabilitation | 5 Mountain Blvd, Suite 3, Warren, NJ 07059-2625 | |
| Larry Cohen | Cardiovascular Disease (cardiology) | Cardio Medical Group, P.a. | 5 Mountain Blvd, Suite 2, Warren, NJ 07059-2625 |
| Michael M Osit | Clinical Psychologist | 5 Mountain Blvd, Suite 4, Warren, NJ 07059-2625 | |
| Jasvinder Singh | Ophthalmology | The Eye Center | 65 Mountain Blvd Ext, Warren, NJ 07059-2632 |
| Debra Firestone | Ophthalmology | The Eye Center | 65 Mountain Blvd Ext, Warren, NJ 07059-2632 |
| Susan R Carter | Ophthalmology | The Eye Center | 65 Mountain Blvd Ext, Warren, NJ 07059-2632 |
| Matthew B Gewirtz | Ophthalmology | The Eye Center | 65 Mountain Blvd Ext, Warren, NJ 07059-2632 |
| John F Lane Iii | Ophthalmology | The Eye Center | 65 Mountain Blvd Ext, Warren, NJ 07059-2632 |
| Mark J Krawitz | Ophthalmology | The Eye Center | 65 Mountain Blvd Ext, Warren, NJ 07059-2632 |
| Find all physicians in zip 07059 | |||
| City | WARREN |
| Zip Code | 07059 |
| Specialty | PODIATRY |
| City + Specialty | WARREN + PODIATRY |
Please comment or provide details below to improve the information on Kenneth J Donovan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.