Active NPI
Kenneth Blair Kashkin
- Internal Medicine Physician
- Sparta, NJ
National Provider Identifier
1457833055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25832
- Practice address
- 8 Hemlock Ter
Sparta, NJ 07871-1248 - Phone
- (973) 919-8340
- NPI assigned
- Aug 30, 2018
- Last updated
- Aug 30, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25832 | CT | Primary |
Addresses
Primary practice location
8 Hemlock Ter
Sparta, NJ 07871-1248
Mailing address
8 Hemlock Ter
Sparta, NJ 07871-1248
Phone (973) 919-8340
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25832 | CT | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535587200000",
"number": "1457833055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 HEMLOCK TER",
"city": "SPARTA",
"state": "NJ",
"postal_code": "078711248",
"telephone_number": "973-919-8340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 HEMLOCK TER",
"city": "SPARTA",
"state": "NJ",
"postal_code": "078711248",
"telephone_number": "973-919-8340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASHKIN",
"first_name": "KENNETH",
"middle_name": "BLAIR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-30",
"last_updated": "2018-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "25832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sparta, NJ
- Journeys Edge Counseling LLC
- Justin Kleppe NP in Family Health PLLC
- Christy-Lynn Kanazik, CNM
- Maria Karagiannis Tsekouras, DPT
- Karen Johnson Surgical Assistant LLC
- Rebecca Lynn Keenan, RPT
- Mary Helen Kellam
- Heidi E Keller, PH.D.
- Stephanie Theresa Keller, DPT
- Brooke Anne Kennedy Cashion, L.P.C., L.C.A.D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.