Paul Keshishian, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB03905100 Issued in NJ

Practice address

186 Rochelle Avenue
Suite #2a
Rochelle Park, NJ 07662-4111

Phone

(201) 368-3384

Fax

(201) 587-0300

NPI assigned

Jan 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

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.

• Hackensack Meridian Health Medical Group - Specialty Care PC

  • Surgical Critical Care Physician
  • Red Bank, NJ
  • NPI 1215989249
  Medicare reassignment NPD
• Hackensack Meridian Health Medical Group - Specialty Care PC

  • Durable Medical Equipment & Medical Supplies
  • North Bergen, NJ
  • NPI 1215734199
  NPD

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1437207610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 ROCHELLE AVENUE",
            "address_2": "SUITE #2A",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076624111",
            "telephone_number": "201-368-3384",
            "fax_number": "201-587-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 ROCHELLE AVENUE",
            "address_2": "SUITE #2A",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076624111",
            "telephone_number": "201-368-3384",
            "fax_number": "201-587-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESHISHIAN",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-06",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB03905100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4866100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hamie Kaffaie
• Michel Kahaleh, MD
• Bella Kavalerchik, PT
• Susan Kazanjian, OT
• Michelle Keim, BCBA
• Rashid Ildar Khalid, D.M.D
• Roman Khodik, LAC, MA
• Jennifer A King, LCSW
• Stacey Marie Kirchner Glanz, MSW LCSW
• Evelyn Kraut, MD

• Family Medicine Physician in Rochelle Park, NJ
• Providers in Rochelle Park, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.