Individual provider Active NPI

Kedar Sankholkar, MD, MS

  • Cardiovascular Disease Physician
  • Clifton, NJ
National Provider Identifier
1053561654
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA09524700 Issued in NJ
Practice address
1030 Clifton Ave
Clifton, NJ 07013-3522
Phone
(973) 778-3777
Fax
(973) 778-3252
NPI assigned
Sep 19, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA09524700 NJ Primary

Addresses

Primary practice location

1030 Clifton Ave
Clifton, NJ 07013-3522

Mailing address

1030 Clifton Ave
Clifton, NJ 07013-3522
Phone (973) 778-3777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140902000777 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 9537387758 Reassigns benefits to 2 organizations
I20160819002209 NY Practitioner - Cardiovascular Disease (Cardiology) 9537387758 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Zwanger and Pesiri Radiology Group LLPGroup PAC ID 5092700799, 93 clinicians

Practice addresses (Care Compare)

150 Sunrise Hwy
Suite E
Lindenhurst, NY 11757-2598
Phone (631) 225-7200

200 W 57TH St
Suite 1010
New York, NY 10019-3215
Phone (212) 970-0911

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.05 of 100Reported as apm
Quality
85.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Master of Science

State licenses

LicenseStateTypeSpecialty
261525NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Services PC CurrentSince Jul 1, 2016 Accepting new patients
Valley Physician Services, Ny, PC Cardiovascular Disease CurrentSince Jul 1, 2016 Accepting new patients
Parkview Cardiology PLLC Cardiovascular Disease CurrentSince Jun 22, 2021 Accepting new patients
Zwanger & Pesiri Radiology Group, LLP CurrentSince Dec 1, 2021 Accepting new patients

Locations (25 of 33)

1030 Clifton Ave
Clifton, NJ 07013
Phone (973) 777-7377

1 Linwood Ave W
Paramus, NJ 07652
Phone (201) 432-7837

1 Valley Health Plz
Paramus, NJ 07652
Phone (201) 634-5353

97 W Parkway
Pompton Plns, NJ 07444
Phone (973) 831-5000

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

160 Brentwood Rd
Bay Shore, NY 11706
Phone (631) 665-7240

1018 Suffolk Ave
Brentwood, NY 11717

763 Larkfield Rd
Commack, NY 11725
Phone (631) 462-0118

347 Middle Country Rd
Coram, NY 11727
Phone (631) 992-6403

2087 Deer Park Ave
Deer Park, NY 11729
Phone (631) 992-6401

285 Sills Rd
East Patchogue, NY 11772
Phone (631) 447-8300

220 N Belle Mead Rd
East Setauket, NY 11733
Phone (516) 681-8400

99 Smithtown Byp
Hauppauge, NY 11788
Phone (631) 930-3480

326 Walt Whitman Rd
Huntington Station, NY 11746
Phone (631) 673-1001

23135 Merrick Blvd
Laurelton, NY 11413
Phone (718) 481-8693

625 Rockaway Tpke
Lawrence, NY 11559
Phone (516) 336-5227

150 Sunrise Hwy
Lindenhurst, NY 11757
Phone (631) 957-3355

150 Sunrise Hwy
Ste 201
Lindenhurst, NY 11757

150 Sunrise Hwy
Ste E
Lindenhurst, NY 11757

126 Hicksville Rd
Massapequa, NY 11758
Phone (516) 798-3614

1729 N Ocean Ave
Medford, NY 11763
Phone (631) 289-4800

200 W 57th St
Ste 1010
New York, NY 10019
Phone (212) 333-7300

324 W 125th St
New York, NY 10027

200 W 57th St
New York, NY 10019
Phone (212) 247-8100

680 Old Country Rd
Plainview, NY 11803
Phone (516) 681-8400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23666/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1053561654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133522",
            "telephone_number": "973-778-3777",
            "fax_number": "973-778-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133522",
            "telephone_number": "973-778-3777",
            "fax_number": "973-778-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANKHOLKAR",
        "first_name": "KEDAR",
        "credential": "MD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-19",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA09524700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.