Provider Demographics
NPI:1164193827
Name:KANE, ADAM MATTHEW (APN)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:MATTHEW
Last Name:KANE
Suffix:
Gender:M
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1973 WASHINGTON VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08836-2053
Mailing Address - Country:US
Mailing Address - Phone:732-560-9225
Mailing Address - Fax:732-560-8095
Practice Address - Street 1:1973 WASHINGTON VALLEY RD
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08836-2053
Practice Address - Country:US
Practice Address - Phone:732-560-9225
Practice Address - Fax:732-560-8095
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-22
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01199800363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty