Provider Demographics
NPI:1114077211
Name:KUMAR, ARUN S (MD)
Entity type:Individual
Prefix:DR
First Name:ARUN
Middle Name:S
Last Name:KUMAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 SCHANCK RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-3068
Mailing Address - Country:US
Mailing Address - Phone:732-431-1666
Mailing Address - Fax:732-431-1665
Practice Address - Street 1:222 SCHANCK RD
Practice Address - Street 2:SUITE 200
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-3068
Practice Address - Country:US
Practice Address - Phone:732-431-1666
Practice Address - Fax:732-431-1665
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2008-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02666400174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ123377Medicare PIN