Active NPI
Maxim Vsevolodovich Kashin
- Pulmonary Disease Physician
- Englewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 25MA12808100
- Practice address
- 200 Grand Ave Ste 102
Englewood, NJ 07631-4363 - Phone
- (201) 871-3636
- Fax
- (201) 871-8987
- NPI assigned
- Mar 19, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 25MA12808100 | NJ | Primary |
Addresses
Primary practice location
200 Grand Ave Ste 102
Englewood, NJ 07631-4363
Mailing address
3 University PLZ Ste 205
Hackensack, NJ 07601-6208
Phone (201) 833-3599
Other practice location 1
718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone (201) 871-3636
Other practice location 2
8305 Bergenline Ave Ste A
North Bergen, NJ 07047-5057
Phone (201) 854-7200
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
- Pulmonary Disease
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Grand Ave
Suite 102
Englewood, NJ 07631-4363
Phone (201) 871-3636
Hospital & facility affiliations
- Holy Name Medical Center
- Englewood Hospital and Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holy Name Pulmonary Associates, PC | Pulmonary Disease | Current | Accepting new patients |
Locations
200 Grand Ave
Ste 102
Englewood, NJ 07631
Phone (201) 481-7160
3 University Plz
Ste 205
Hackensack, NJ 07601
8305 Bergenline Ave
Ste A
North Bergen, NJ 07047
Phone (201) 854-7200
718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232
Organizations & group practices 1
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.
-
- Pulmonary Disease Physician
- Teaneck, NJ
- NPI 1144484866
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Teaneck, NJ
- NPI 1043389349
Hospital
-
- General Acute Care Hospital
- Teaneck, NJ
- NPI 1104859131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1467911404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 UNIVERSITY PLZ STE 205",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076016208",
"telephone_number": "201-833-3599",
"fax_number": "201-227-6207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 GRAND AVE STE 102",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076314363",
"telephone_number": "201-871-3636",
"fax_number": "201-871-8987"
}
],
"practiceLocations": [
{
"address_1": "718 Teaneck Rd",
"address_purpose": "LOCATION",
"city": "Teaneck",
"state": "NJ",
"postal_code": "076664245",
"country_code": "US",
"telephone_number": "201-871-3636",
"fax_number": "201-871-8987",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8305 Bergenline Ave Ste A",
"address_purpose": "LOCATION",
"city": "North Bergen",
"state": "NJ",
"postal_code": "070475057",
"country_code": "US",
"telephone_number": "201-854-7200",
"fax_number": "201-854-0827",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KASHIN",
"first_name": "MAXIM",
"middle_name": "VSEVOLODOVICH",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-19",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NJ",
"license": "25MA12808100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.