Provider Demographics
NPI:1265478333
Name:KAMEN, BRUCE ELIAS (DPM)
Entity type:Individual
Prefix:
First Name:BRUCE
Middle Name:ELIAS
Last Name:KAMEN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9307 PACIFIC AVENUE UNIT B
Mailing Address - Street 2:BRUCE E KAMEN DPM
Mailing Address - City:MARGATE
Mailing Address - State:NJ
Mailing Address - Zip Code:08402-2325
Mailing Address - Country:US
Mailing Address - Phone:856-904-3393
Mailing Address - Fax:856-616-1352
Practice Address - Street 1:9307 PACIFIC AVENUE UNIT B
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:NJ
Practice Address - Zip Code:08402-2325
Practice Address - Country:US
Practice Address - Phone:856-904-3393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00139800213E00000X
PASC002449L213E00000X, 213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ480003154OtherRR MC
NJ024974OtherMEDICARE
NJ5588201Medicaid
PA0009510540003Medicaid
PA448333OtherMEDICARE
PA480003154OtherRR MC
DE480003154OtherRR MC
PA480003154OtherRR MC
PA480003154OtherRR MC
PA0009510540003Medicaid