Active NPI
Andrei Kachala, MD
- Specialist
- Edison, NJ
National Provider Identifier
1366555419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MA03473500
- Practice address
- 10 Parsonage Rd
Suite 118
Edison, NJ 08837-2429 - Phone
- (732) 494-9400
- NPI assigned
- Aug 15, 2006
- Last updated
- Mar 14, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 25MA03473500 | NJ | Primary |
Addresses
Primary practice location
10 Parsonage Rd
Suite 118
Edison, NJ 08837-2429
Mailing address
10 Parsonage Rd
Suite 118
Edison, NJ 08837-2429
Phone (732) 494-9400
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340005178 | Other | NJ | RR MEDICARE ID # |
| 4249998 | Other | NJ | AETNA PPO ID # |
| MS187 | Other | NJ | OXFORD ID # |
| 5709963 | Other | NJ | GHI PPO ID # |
| 0563110 | Other | NJ | AETNA HMO ID # |
| 13A632 | Other | NJ | EMPIRE BC OLD BRIDGE |
| 13A631 | Other | NY | EMPIRE BC/BS OF NY EDISON |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA03473500 | NJ | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300060800000",
"number": "1366555419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 PARSONAGE RD",
"address_2": "SUITE 118",
"city": "EDISON",
"state": "NJ",
"postal_code": "088372429",
"telephone_number": "732-494-9400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 PARSONAGE RD",
"address_2": "SUITE 118",
"city": "EDISON",
"state": "NJ",
"postal_code": "088372429",
"telephone_number": "732-494-9400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KACHALA",
"first_name": "ANDREI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2011-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "25MA03473500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE ID #",
"identifier": "340005178",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO ID #",
"identifier": "4249998",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD ID #",
"identifier": "MS187",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PPO ID #",
"identifier": "5709963",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO ID #",
"identifier": "0563110",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC OLD BRIDGE",
"identifier": "13A632",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS OF NY EDISON",
"identifier": "13A631",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.