NPIMap

Organization Active NPI

Richard M Kagan DDS PA

  • Dentist
  • Fort Lee, NJ
National Provider Identifier
1407955792
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9355 Issued in NJ
Legal business name
RICHARD M KAGAN DDS PA
Practice address
1530 Palisade Ave
Suite 101
Fort Lee, NJ 07024-4923
Phone
(201) 944-4040
Fax
(201) 944-4041
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard Mark Kagan, DDSNPI 1194168146
Title
President
Phone
(201) 944-4040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 9355 NJ Primary

Addresses

Primary practice location

1530 Palisade Ave
Suite 101
Fort Lee, NJ 07024-4923

Mailing address

1530 Palisade Ave
Suite 101
Fort Lee, NJ 07024-4923
Phone (201) 944-4040

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407955792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 PALISADE AVE",
            "address_2": "SUITE 101",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244923",
            "telephone_number": "201-944-4040",
            "fax_number": "201-944-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 PALISADE AVE",
            "address_2": "SUITE 101",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244923",
            "telephone_number": "201-944-4040",
            "fax_number": "201-944-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD M KAGAN DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAGAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-944-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "9355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.