Active NPIIndividual provider

Aivan Q Kakoz, MD

Student in an Organized Health Care Education/Training Program in Newark, New Jersey

NPI Number1417805730
Practice location
201 Lyons Ave, Newark, NJ 07112-2027
Fax
—
Last updated
March 20, 2026

Aivan Qays Kakoz is a Student in an Organized Health Care Education/Training Program based in Newark, NJ. Aivan Qays Kakoz practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Aivan Qays Kakoz is 1417805730. The current practice location address for Aivan Qays Kakoz is 201 Lyons Ave, Newark, NJ 07112-2027 and can be reached out via phone at 973-926-7000.

Provider Profile Details

NPI Number
1417805730
Provider Name
Aivan Qays Kakoz
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
201 Lyons Ave, Newark, NJ 07112-2027
Phone Number
973-926-7000
Sole Proprietor
No
Provider Enumeration Date
March 20, 2026
Last Update Date
March 20, 2026
Certification Date
March 20, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
201 Lyons Ave
Newark, NJ 07112-2027
City
Newark
Zip
07112-2027
Phone Number
973-926-7000
Newark, NJ 07112Get directions →

Provider Business Mailing Address Details

Address
8378 June Lake Dr
San Diego, CA 92119-3102
City
San Diego
State
CA
Zip
92119-3102
Phone Number
619-672-8591

License Information

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Aivan Q Kakoz, MD?

The NPI number of Aivan Q Kakoz, MD is 1417805730. It was assigned on March 20, 2026 and is currently active in the NPPES registry.

What is the specialty of Aivan Q Kakoz, MD?

Aivan Q Kakoz, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Aivan Q Kakoz, MD practice?

The practice location is 201 Lyons Ave, Newark, NJ 07112-2027. The office can be reached at 973-926-7000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417805730 directly on the NPPES registry website.

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