Individual provider Active NPI

Alexander E Kasatkin, M.D.

  • Cardiovascular Disease Physician
  • Fair Lawn, NJ
National Provider Identifier
1144270323
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA08030100 Issued in NJ
Practice address
28-02 Fair Lawn Ave
Fair Lawn, NJ 07410-3402
Phone
(201) 475-2225
Fax
(201) 475-2221
NPI assigned
May 11, 2006
Last updated
Mar 13, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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 25MA08030100 NJ Primary

Addresses

Primary practice location

28-02 Fair Lawn Ave
Fair Lawn, NJ 07410-3402

Mailing address

28-02 Fair Lawn Ave
Fair Lawn, NJ 07410-3402
Phone (201) 475-2225

Other identifiers 2

IdentifierTypeStateIssuer
03028168MedicaidNY
0173631MedicaidNJ

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060620000276 NJ Practitioner - Cardiovascular Disease (Cardiology) 5193737872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

28 -02 Fair Lawn Ave
Fair Lawn, NJ 07410-3402
Phone (201) 475-2225

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
95.45
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alexander Kasatkin M.D. P.C. Cardiovascular Disease CurrentSince Feb 25, 2007 Accepting new patients
Associates in Cardiovascular Disease LLC Cardiovascular Disease Past Accepting new patients

Locations

28-02 Fair Lawn Ave
Fair Lawn, NJ 07410
Phone (201) 421-4406

6 Melnick Dr
Ste 101
Monsey, NY 10952
Phone (845) 352-9292

Interoperability endpoints

  • Direct secure messaging: alexander.kasatkin@akmp.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GADJBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/GADJBA/Endpoint/GADJBA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426204800000",
    "number": "1144270323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28-02 FAIR LAWN AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103402",
            "telephone_number": "201-475-2225",
            "fax_number": "201-475-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28-02 FAIR LAWN AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103402",
            "telephone_number": "201-475-2225",
            "fax_number": "201-475-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASATKIN",
        "first_name": "ALEXANDER",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2015-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA08030100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03028168",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0173631",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.