Individual provider Active NPI

Frederick Elliot Kahn, M.D.

  • Psychosomatic Medicine Physician
  • Paramus, NJ
National Provider Identifier
1316160039
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X
License
NJ MA056615 Issued in NJ
Practice address
6 Forest Ave
Paramus, NJ 07652-5241
Phone
(201) 587-0414
Fax
(201) 655-7851
NPI assigned
Apr 11, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychosomatic Medicine Physician 2084P0015X NJ MA056615 NJ Primary

Addresses

Primary practice location

6 Forest Ave
Paramus, NJ 07652-5241

Mailing address

6 Forest Ave
Paramus, NJ 07652-5241
Phone (201) 587-0414

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
I20090421000440 NJ Practitioner - Psychiatry 0749337244 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Paramus, NJ

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Wayne State University School of Medicine, 1976
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Forest Recovery and Psychiatric Group IncGroup PAC ID 6507229077, 3 clinicians

Practice addresses (Care Compare)

6 Forest Ave
Paramus, NJ 07652-5241
Phone (201) 880-7530

6 Forest Ave
Suite 110
Paramus, NJ 07652-5245

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NJ MA056615NJMDPsychosomatic Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forest Recovery and Psychiatric Group Inc CurrentSince Jul 1, 2023 Accepting new patients
Forest Recovery and Psychiatric Group CurrentSince Jan 14, 2024 Accepting new patients
New Lifestyle Medical PA Psychosomatic Medicine Past Accepting new patients
Forest Psychiatric Associates PastSince Feb 26, 1993 Accepting new patients
Jay Lawrence Friedman, M.D., L.L.C. PastSince Feb 2, 2009 Accepting new patients

Locations

6 Forest Ave
Paramus, NJ 07652
Phone (201) 587-7850

6 Forest Ave
Ste 1
Paramus, NJ 07652
Phone (201) 880-7530

6 Forest Ave
Ste 110
Paramus, NJ 07652
Phone (201) 880-7530

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 6

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316160039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 FOREST AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525241",
            "telephone_number": "201-587-0414",
            "fax_number": "201-655-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 FOREST AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525241",
            "telephone_number": "201-587-0414",
            "fax_number": "201-655-7851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN",
        "first_name": "FREDERICK",
        "middle_name": "ELLIOT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "NJ",
            "license": "NJ MA056615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.