Active NPI
Baruch Kassover, MD
- Internal Medicine Physician
- Atlantic Beach, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 183113
- Practice address
- 2001 Ocean Blvd
Atlantic Beach, NY 11509 - Phone
- (516) 371-0765
- Fax
- (516) 371-2866
- NPI assigned
- Sep 5, 2006
- Last updated
- May 26, 2011
- 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 | 183113 | NY | Primary |
Addresses
Primary practice location
2001 Ocean Blvd
Atlantic Beach, NY 11509
Mailing address
1204 B 9TH St
Far Rockaway, NY 11691
Phone (718) 868-0320
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2500300 | Other | GHI | |
| 2C1296 | Other | HEALTHNET | |
| 01495523 | Medicaid | NY | |
| 1003605 | Other | AETNA | |
| P406990 | Other | OXFORD | |
| 00074 | Other | GHI MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- State University of Ny Upstate Medical University, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1771 Madison Ave
Lakewood, NJ 08701-1242
Phone (732) 364-2144
1771 Madison Ave
Lakewood, NJ 08701-1251
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakewood Resource and Referral Center Inc | Current | Accepting new patients | |
| Lakewood Resource and Referral Center, Inc. | Current | Accepting new patients | |
| Lakewood Resource and Referral Center, Inc. | Current | Accepting new patients |
Locations
1771 Madison Ave
Lakewood, NJ 08701
Phone (732) 364-2144
Interoperability endpoints
- baruch.kassover@chemed.eclinicaldirectplus.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Center for Health Education, Medicine and Dentistry
- Federally Qualified Health Center (FQHC)
- Lakewood, NJ
- NPI 1083748297
-
dba Center for Health Education, Medicine and Dentistry
- Federally Qualified Health Center (FQHC)
- Jackson, NJ
- NPI 1124844816
-
dba Center for Health Education, Medicine and Dentistry
- Federally Qualified Health Center (FQHC)
- Lakewood, NJ
- NPI 1518437474
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Monmouth Medical Center Southern Campus
- General Acute Care Hospital
- Lakewood, NJ
- NPI 1225133473
-
- General Acute Care Hospital
- Long Branch, NJ
- NPI 1609983790
-
dba VNA of Central Jersey Home Care and Hospice
- Home Health Agency
- Toms River, NJ
- NPI 1912964818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306368000000",
"number": "1467554840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 B 9TH ST",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "11691",
"telephone_number": "718-868-0320",
"fax_number": "718-868-0481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 OCEAN BLVD",
"city": "ATLANTIC BEACH",
"state": "NY",
"postal_code": "11509",
"telephone_number": "516-371-0765",
"fax_number": "516-371-2866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASSOVER",
"first_name": "BARUCH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-05",
"last_updated": "2011-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "183113",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "2500300",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2C1296",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01495523",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1003605",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P406990",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI MEDICARE",
"identifier": "00074",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlantic Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.