Provider Demographics
NPI:1104530062
Name:IAN HOWARD KADEN MD
Entity type:Organization
Organization Name:IAN HOWARD KADEN MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IAN
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:KADEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-328-6622
Mailing Address - Street 1:121 CENTER GROVE RD STE 3
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:NJ
Mailing Address - Zip Code:07869-4453
Mailing Address - Country:US
Mailing Address - Phone:973-328-6622
Mailing Address - Fax:973-328-4495
Practice Address - Street 1:121 CENTER GROVE RD STE 3
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:NJ
Practice Address - Zip Code:07869-4453
Practice Address - Country:US
Practice Address - Phone:973-328-6622
Practice Address - Fax:973-328-4495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-05
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6587305Medicaid