Organization Active NPI

Kedar a. Gokhale, M.D., LLC

  • Internal Medicine Physician
  • Hillsdale, NJ
National Provider Identifier
1417980053
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA063997 Issued in NJ
Legal business name
KEDAR A. GOKHALE, M.D., LLC
Practice address
98 Broadway
Hillsdale, NJ 07642-2716
Phone
(201) 666-6767
Fax
(201) 666-9599
NPI assigned
Jul 8, 2006
Last updated
Oct 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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

Authorized official

Name
Kedar A Gokhale, M.D.
Title
Chief Officer
Phone
(201) 666-6767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA063997 NJ Primary

Addresses

Primary practice location

98 Broadway
Hillsdale, NJ 07642-2716

Mailing address

98 Broadway
Hillsdale, NJ 07642-2716
Phone (201) 666-6767

National Provider Directory

National Provider Directory

Locations

98 Broadway
Hillsdale, NJ 07642
Phone (201) 664-8316

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1417980053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 BROADWAY",
            "city": "HILLSDALE",
            "state": "NJ",
            "postal_code": "076422716",
            "telephone_number": "201-666-6767",
            "fax_number": "201-666-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 BROADWAY",
            "city": "HILLSDALE",
            "state": "NJ",
            "postal_code": "076422716",
            "telephone_number": "201-666-6767",
            "fax_number": "201-666-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEDAR A. GOKHALE, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "GOKHALE",
        "authorized_official_first_name": "KEDAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF OFFICER",
        "authorized_official_telephone_number": "201-666-6767",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA063997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsdale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; 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.