Basic Information
| Provider Information | |||||||||
| NPI: | 1366837726 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KASPER | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | J | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 28 HERING RD | ||||||||
| Address2: | |||||||||
| City: | MONTVALE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 076451205 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2019259251 | ||||||||
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| Practice Location | |||||||||
| Address1: | 82 EAST ALLENDALE ROAD | ||||||||
| Address2: | SUITE 3A | ||||||||
| City: | SADDLE RIVER | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 07458 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2018253933 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/02/2015 | ||||||||
| LastUpdateDate: | 08/13/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/13/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207RC0000X | 25MA11164800 | NJ | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
No ID Information.