Kamal F Kassis MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

25MA07598000 Issued in NJ

Legal business name

KAMAL F KASSIS MD PC

Practice address

415 S Chris Gaupp Drive
Chris Gaupp Professional BLDG
Galloway, NJ 08205-4440

Phone

(609) 652-5577

Fax

(609) 652-1977

NPI assigned

Dec 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kamal F Kassis, MDNPI 1831292010

Title

President Owner

Phone

(609) 652-5577

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kamal F Kassis MD Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kamal F Kassis, M.D.

  • Surgery Physician
  • Galloway, NJ
  • NPI 1831292010
  Authorized official Same address or phone

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063577104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S CHRIS GAUPP DRIVE",
            "address_2": "CHRIS GAUPP PROFESSIONAL BLDG",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054440",
            "telephone_number": "609-652-5577",
            "fax_number": "609-652-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S CHRIS GAUPP DRIVE",
            "address_2": "CHRIS GAUPP PROFESSIONAL BLDG",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054440",
            "telephone_number": "609-652-5577",
            "fax_number": "609-652-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMAL F KASSIS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KASSIS",
        "authorized_official_first_name": "KAMAL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "609-652-5577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA07598000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1755102",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kamal F Kassis MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Surgery Physician in Galloway, NJ
• Providers in Galloway, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.