Individual provider Active NPI

Sarat Kumar Dash

  • Vascular Surgery Physician
  • Hamburg, NJ
National Provider Identifier
1275680563
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MA29965 Issued in NJ
Practice address
71 State RT 23 N
Hamburg, NJ 07419-1408
Phone
(973) 827-2800
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X MA29965 NJ Primary

Addresses

Primary practice location

71 State RT 23 N
Hamburg, NJ 07419-1408

Mailing address

71 State RT 23 N
P.O. Box 59
Hamburg, NJ 07419-1408
Phone (973) 827-2800

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
I20091216000531 NJ Practitioner - Vascular SurgeryPractitioner - General Surgery 5597805846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

71 Route 23 N
Hamburg, NJ 07419-0059
Phone (973) 827-2800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal160

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA29965NJMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Jersey Surgical Associates CurrentSince Aug 29, 2009 Accepting new patients
Vein and Laser Center of NJ Vascular Surgery Past Accepting new patients

Locations

71 State Rt 23 N
#59
Hamburg, NJ 07419

71 State Rt 23 N
Hamburg, NJ 07419
Phone (973) 209-1110

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1275680563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 STATE RT 23 N",
            "address_2": "P.O. BOX 59",
            "city": "HAMBURG",
            "state": "NJ",
            "postal_code": "074191408",
            "telephone_number": "973-827-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 STATE RT 23 N",
            "city": "HAMBURG",
            "state": "NJ",
            "postal_code": "074191408",
            "telephone_number": "973-827-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASH",
        "first_name": "SARAT",
        "middle_name": "KUMAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "MA29965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NJ

Sources for this page

Verify at the official NPI Registry.