| Oleg Kaim, M.d., P.c. | |
|
214 Engle St Suite 11 Englewood NJ 07631-2418 | |
| (201) 567-4488 | |
| (201) 567-4771 |
| Full Name | Oleg Kaim, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 214 Engle St, Englewood, New Jersey |
| Authorized Official Name and Position | Oleg Kaim (PRESIDENT) |
| Authorized Official Contact | 2015674488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oleg Kaim, M.d., P.c. 214 Engle St Suite 11 Englewood NJ 07631-2418 Ph: (201) 567-4488 | Oleg Kaim, M.d., P.c. 214 Engle St Suite 11 Englewood NJ 07631-2418 Ph: (201) 567-4488 |
| NPI Number | 1588871966 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 08/15/2012 |
| Medicare PECOS PAC ID | 8921195942 |
|---|---|
| Medicare Enrollment ID | O20071107000372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588871966 | NPI | - | NPPES |
| 6651208 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA06193500 (New Jersey) | Primary |
| Provider Name | Oleg Kaim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730133141 PECOS PAC ID: 2961446265 Enrollment ID: I20050617000119 |
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