Provider Demographics
NPI:1538370382
Name:THOMAS KAYLEN, M.D.
Entity type:Organization
Organization Name:THOMAS KAYLEN, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:KAYLEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-755-7688
Mailing Address - Street 1:904 OAK TREE AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07080-5126
Mailing Address - Country:US
Mailing Address - Phone:908-755-7688
Mailing Address - Fax:908-755-2960
Practice Address - Street 1:904 OAK TREE AVE
Practice Address - Street 2:
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-5126
Practice Address - Country:US
Practice Address - Phone:908-755-7688
Practice Address - Fax:908-755-2960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7299109Medicaid
NJ951900Medicare ID - Type Unspecified
NJ7299109Medicaid