Mark L Kavanagh, MD
Orthopaedic Surgery in Lincoln Park, New Jersey
1558514380- Practice location
- 61 Beaverbrook RD, Suite 201, Lincoln Park, NJ 07035-1748
- Phone
- 973-686-9292
- Fax
- 973-686-9294
- Last updated
- January 2, 2014
Mark L Kavanagh is an Orthopaedic Surgery based in Lincoln Park, NJ. Mark L Kavanagh practices in Lincoln Park, NJ and has the professional credentials of MD. The NPI Number for Mark L Kavanagh is 1558514380 and holds a License No. 0101245447 (VA). The current practice location address for Mark L Kavanagh is 61 Beaverbrook RD, Suite 201, Lincoln Park, NJ 07035-1748 and can be reached out via phone at 973-686-9292 and via fax at 973-686-9294.
Provider Profile Details
- NPI Number
- 1558514380
- Provider Name
- Mark L Kavanagh
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 61 Beaverbrook RD, Suite 201, Lincoln Park, NJ 07035-1748
- Phone Number
- 973-686-9292
- Fax Number
- 973-686-9294
- Primary Taxonomy
- Orthopaedic Surgery · 207X00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 24, 2008
- Last Update Date
- January 2, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 61 Beaverbrook RD
Suite 201
Lincoln Park, NJ 07035-1748 - City
- Lincoln Park
- State
- New Jersey
- Zip
- 07035-1748
- Phone Number
- 973-686-9292
- Fax Number
- 973-686-9294
Provider Business Mailing Address Details
- Address
- 61 Beaverbrook RD
Suite 201
Lincoln Park, NJ 07035-1748 - City
- Lincoln Park
- State
- NJ
- Zip
- 07035-1748
- Phone Number
- 973-686-9292
- Fax Number
- 973-686-9294
License Information
- License Number (1)
- 0101245447
- License State (1)
- VA
- Taxonomy (1)
- Orthopaedic Surgery, Sports Medicine · 207XX0005X
- License Number (2)
- 25MA08991900
- License State (2)
- NJ
- Taxonomy (2)
- Orthopaedic Surgery · 207X00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mark L Kavanagh, MD?
The NPI number of Mark L Kavanagh, MD is 1558514380. It was assigned on October 24, 2008 and is currently active in the NPPES registry.
What is the specialty of Mark L Kavanagh, MD?
Mark L Kavanagh, MD is registered under the primary taxonomy Orthopaedic Surgery (code 207X00000X), licensed in VA under license number 0101245447.
Where does Mark L Kavanagh, MD practice?
The practice location is 61 Beaverbrook RD, Suite 201, Lincoln Park, NJ 07035-1748. The office can be reached at 973-686-9292 (phone) or 973-686-9294 (fax).
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 1558514380 directly on the NPPES registry website.