Individual provider Active NPI

Jay Michael Kashkin, MD

  • Allergy Physician
  • Fair Lawn, NJ
National Provider Identifier
1235128497
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
MA51994 Issued in NJ
Practice address
23-00 Route 208 South
Fair Lawn, NJ 07410-1559
Phone
(201) 794-7400
Fax
(201) 475-9669
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X MA51994 NJ Primary

Addresses

Primary practice location

23-00 Route 208 South
Fair Lawn, NJ 07410-1559

Mailing address

23-00 Route 208 South
Fair Lawn, NJ 07410-1559
Phone (201) 794-7400

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
I20110406000110 NJ Practitioner - Pediatric MedicinePractitioner - Allergy/Immunology 6800070400 Reassigns benefits to 2 organizations
Practice locations: Fair Lawn, NJ

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Allergy/Immunology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advocare, LLCGroup PAC ID 3678562188, 383 clinicians

Practice addresses (Care Compare)

169 Mine Brook Rd
Bernardsville, NJ 07924-2125
Phone (908) 766-0034

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA51994NJMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC CurrentSince Sep 1, 2020 Accepting new patients
Sovereign Medical Group LLC CurrentSince Nov 1, 2018 Accepting new patients
Sovereign Medical Group, LLC CurrentSince Nov 1, 2018 Accepting new patients
Advocare , LLC CurrentSince Sep 1, 2020 Accepting new patients
Advocare, LLC Past Accepting new patients

Locations

169 Mine Brook Rd
#P
Bernardsville, NJ 07924
Phone (908) 766-0034

23-00 Route 208
Ste 2-1
Fair Lawn, NJ 07410
Phone (201) 794-7400

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

680 Kinderkamack Rd
Ste 300
Oradell, NJ 07649
Phone (201) 881-7869

Interoperability endpoints

  • Direct secure messaging: jay.kashkin@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1235128497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23-00 ROUTE 208 SOUTH",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101559",
            "telephone_number": "201-794-7400",
            "fax_number": "201-475-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23-00 ROUTE 208 SOUTH",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101559",
            "telephone_number": "201-794-7400",
            "fax_number": "201-475-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASHKIN",
        "first_name": "JAY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NJ",
            "license": "MA51994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.