Active NPI
Sanjay Kumar, M.D
- Vascular Surgery Physician
- Vineland, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 25MA08084100
- Practice address
- 1102 E Chestnut Ave
Vineland, NJ 08360-5002 - Phone
- (856) 213-6375
- Fax
- (856) 575-4986
- NPI assigned
- Jun 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 25MA08084100 | NJ | |
| Vascular Surgery Physician | 2086S0129X | 25MA08084100 | NJ | Primary |
Addresses
Primary practice location
1102 E Chestnut Ave
Vineland, NJ 08360-5002
Mailing address
2848 S Delsea Dr
Suite 4B
Vineland, NJ 08360-7042
Phone (856) 205-7070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145246 | Medicaid | NJ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
333 Laurel Oak Rd
Voorhees, NJ 08043-4453
Phone (844) 542-2273
Hospital & facility affiliations
- Thomas Jefferson University Hospital
- Jefferson Stratford Hospital
- Cape Regional Medical Center Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 48 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanticare Physician Group PA | Surgery | Current | Accepting new patients |
| Kennedy Medical Group Practice P.C. | Vascular Surgery | Current | Accepting new patients |
| Kennedy Medical Group Practice PC | Current | Accepting new patients | |
| Kennedy Medical Group Practice, P.C. | Vascular Surgery | Current | Accepting new patients |
| Atlanticare Physician Group, PA | Current | Accepting new patients |
Locations
457 Haddonfield Rd
Ste 110
Cherry Hill, NJ 08002
Phone (856) 406-4091
2500 English Creek Ave
Ste 1200
Egg Harbor Twp, NJ 08234
Phone (609) 704-1980
459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815
333 Laurel Oak Rd
Voorhees, NJ 08043
Phone (856) 344-7360
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.
-
- Family Medicine Physician
- Voorhees, NJ
- NPI 1952726796
Vascular Surgery
-
- Urgent Care Clinic/Center
- Galloway, NJ
- NPI 1003820622
-
- Family Medicine Physician
- Turnersville, NJ
- NPI 1881987337
Vascular Surgery
-
- Family Medicine Physician
- Sewell, NJ
- NPI 1952848905
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cape May Court House, NJ
- NPI 1053382697
-
- General Acute Care Hospital
- Stratford, NJ
- NPI 1386746592
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347408000000",
"number": "1295938496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2848 S DELSEA DR",
"address_2": "SUITE 4B",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083607042",
"telephone_number": "856-205-7070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 E CHESTNUT AVE",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083605002",
"telephone_number": "856-213-6375",
"fax_number": "856-575-4986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMAR",
"first_name": "SANJAY",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-06",
"last_updated": "2012-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NJ",
"license": "25MA08084100",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NJ",
"license": "25MA08084100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "145246",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vineland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.