Sanjay Kavathia, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA07267000 Issued in NJ

Practice address

616 Willow Grove St
Unit 1a
Hackettstown, NJ 07840-1779

Phone

(908) 852-8484

Fax

(908) 852-4197

NPI assigned

May 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

Specialty

Internal Medicine

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Atlantic Visiting Nurse Home health agency, Morristown, NJ, CCN 317054
• Ennoble Care Hospice, Hackettstown, NJ, CCN 311585
• Suncrest Hospice New Jersey, LLC Hospice, Parsippany, NJ, CCN 311595
• Karen Ann Quinlan Hospice Hospice, Newton, NJ, CCN 311509
• Ahs Hospital Corp Hospital, Hackettstown, NJ, CCN 310115
• Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
• St Luke'S Warren Hospital Hospital, Phillipsburg, NJ, CCN 310060
• Forest Manor HCC Nursing home, Blairstown, NJ, CCN 315224
• Heath Village Nursing home, Hackettstown, NJ, CCN 315072

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DCBFBA/Endpoint/DCBFBA
• Direct secure messaging: sanjay.kavathia@pmca.eclinicaldirectplus.com

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

• Primed Medical Care PC

  • Internal Medicine Physician
  • Hackettstown, NJ
  • NPI 1972619807

  Single Specialty

  Medicare reassignment NPD Authorized official
• Forest Manor Management, LLC

  • Skilled Nursing Facility
  • Blairstown, NJ
  • NPI 1588898886
  NPD (past)

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

• Ahs Hospital Corp

  • General Acute Care Hospital
  • Hackettstown, NJ
  • NPI 1518969419
  Care Compare affiliation
• Ahs Hospital Corp.

  • General Acute Care Hospital
  • Morristown, NJ
  • NPI 1053384776
  Care Compare affiliation
• Ahs Hospital Corp.

  • Home Health Agency
  • Morristown, NJ
  • NPI 1962479667
  Care Compare affiliation
• Ennoble Hospice NJ LLC

  • Community Based Hospice Care Agency
  • Hackettstown, NJ
  • NPI 1922543388
  Care Compare affiliation
• Forest Manor Management, LLC

  • Skilled Nursing Facility
  • Blairstown, NJ
  • NPI 1588898886

  Nursing home

  Care Compare affiliation
• Heath Village, Inc.

  • Skilled Nursing Facility
  • Hackettstown, NJ
  • NPI 1912041526

  Nursing home

  Care Compare affiliation
• Karen Ann Quinlan Memorial Foundation

  • Community Based Hospice Care Agency
  • Newton, NJ
  • NPI 1285631234
  Care Compare affiliation
• St. Luke'S Warren Hospital, Inc.

  • General Acute Care Hospital
  • Phillipsburg, NJ
  • NPI 1760488266
  Care Compare affiliation
• Suncrest Hospice New Jersey LLC

  • Community Based Hospice Care Agency
  • Parsippany, NJ
  • NPI 1538742630
  Care Compare affiliation

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1124078142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 WILLOW GROVE ST",
            "address_2": "UNIT 1A",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078401779",
            "telephone_number": "908-852-8484",
            "fax_number": "908-852-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 WILLOW GROVE ST",
            "address_2": "UNIT 1A",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078401779",
            "telephone_number": "908-852-8484",
            "fax_number": "908-852-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVATHIA",
        "first_name": "SANJAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA072670",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07267000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0228763",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8684308",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2530863",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "2619378",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GP10",
            "identifier": "AMERIGROUP",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC6255",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "000133641",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Brian Karns, DPT, ATC
• Adam Kasarda
• Susan K. Kasper, PH.D.
• Barton Jack Kaufman, DMD
• Kavaris LLC
• Ksymena Kedzierska, MD
• Carly Kehler, BCBA
• Carissa Jean Keller, PSY.D.
• Denise Marie Kelly-Jones, RN, MS, CCRN, NP-C
• Dina Kelly, LPC

• Internal Medicine Physician in Hackettstown, NJ
• Providers in Hackettstown, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.