Kaiafas, Costas A

Kaiafas, Costas A is an individual health care provider with primary practice located at 1 Diamond Hill Rd Summit Medical Group, Berkeley Heights NJ 07922-2104. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Kaiafas, Costas A can be contacted via phone (908) 273-4300.

Contact Information

Primary practice address
1 Diamond Hill Rd Summit Medical Group Berkeley Heights NJ 07922-2104
Phone: (908) 273-4300
Fax: (908) 790-6524
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA06840600 New Jersey
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MA68406 New Jersey

Profile Details

NPI number 1528057866
LBN Legal business name Kaiafas, Costas A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Feb 14th, 2018 - about 6 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 1528057866 NPPES
New Jersey MEDICAID 8073902

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