Kaminetzky, Jeffrey Scott

Kaminetzky, Jeffrey Scott is an individual health care provider with primary practice located at 1771 Madison Ave , Lakewood NJ 08701-1242. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kaminetzky, Jeffrey Scott can be contacted via phone (732) 364-2144.

Contact Information

Primary practice address
1771 Madison Ave Lakewood NJ 08701-1242
Phone: (732) 364-2144
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 194890 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 194890 New York

Profile Details

NPI number 1598760787
LBN Legal business name Kaminetzky, Jeffrey Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Apr 8th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598760787 NPPES
New York MEDICAID 01616788

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