Kenneth R Jungblut, MD
Psychiatry & Neurology, Psychiatry in Lyndhurst, New Jersey
1760415681- Practice location
- 516 Valley Brook Ave, Lyndhurst, NJ 07071-0000
- Phone
- 201-935-3322
- Fax
- 201-460-3698
- Last updated
- April 4, 2008
Kenneth R Jungblut is a Psychiatry & Neurology, Psychiatry based in Lyndhurst, NJ. Kenneth R Jungblut practices in Lyndhurst, NJ and has the professional credentials of MD. The NPI Number for Kenneth R Jungblut is 1760415681 and holds a License No. MA040387 (NJ). The current practice location address for Kenneth R Jungblut is 516 Valley Brook Ave, Lyndhurst, NJ 07071-0000 and can be reached out via phone at 201-935-3322 and via fax at 201-460-3698.
Provider Profile Details
- NPI Number
- 1760415681
- Provider Name
- Kenneth R Jungblut
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 516 Valley Brook Ave, Lyndhurst, NJ 07071-0000
- Phone Number
- 201-935-3322
- Fax Number
- 201-460-3698
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 7, 2006
- Last Update Date
- April 4, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 516 Valley Brook Ave
Lyndhurst, NJ 07071-0000 - City
- Lyndhurst
- State
- New Jersey
- Zip
- 07071-0000
- Phone Number
- 201-935-3322
- Fax Number
- 201-460-3698
Provider Business Mailing Address Details
- Address
- 516 Valley Brook Ave
Lyndhurst, NJ 07071-0000 - City
- Lyndhurst
- State
- NJ
- Zip
- 07071-0000
- Phone Number
- 201-935-3322
- Fax Number
- 201-460-3698
License Information
- License Number
- MA040387
- License State
- NJ
- Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X · 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 Kenneth R Jungblut, MD?
The NPI number of Kenneth R Jungblut, MD is 1760415681. It was assigned on July 7, 2006 and is currently active in the NPPES registry.
What is the specialty of Kenneth R Jungblut, MD?
Kenneth R Jungblut, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in NJ under license number MA040387.
Where does Kenneth R Jungblut, MD practice?
The practice location is 516 Valley Brook Ave, Lyndhurst, NJ 07071-0000. The office can be reached at 201-935-3322 (phone) or 201-460-3698 (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 1760415681 directly on the NPPES registry website.