Individual provider Active NPI

Donald Harold Kutner, DO

  • Gastroenterology Physician
  • Fair Lawn, NJ
National Provider Identifier
1477522712
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MB40513 Issued in NJ
Practice address
15-01 Broadway
Suite 34
Fair Lawn, NJ 07410-6003
Phone
(201) 794-6808
Fax
(201) 797-6238
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MB40513 NJ Primary

Addresses

Primary practice location

15-01 Broadway
Suite 34
Fair Lawn, NJ 07410-6003

Mailing address

15-01 Broadway Ste 34
Fair Lawn, NJ 07410-6006
Phone (201) 794-6808

Other identifiers 1

IdentifierTypeStateIssuer
0714607MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120120000746 NJ Practitioner - GastroenterologyPractitioner - AnesthesiologyPractitioner - Internal Medicine 9830366558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastroenterology Associates of New Jersey LLCGroup PAC ID 4284706656, 78 clinicians

Practice addresses (Care Compare)

301 Lakehurst Rd
Toms River, NJ 08755-7335
Phone (732) 281-1590

Hospital & facility affiliations

  • Valley Hospital Hospital, Paramus, NJ, CCN 310012

Merit-based Incentive Payment System (MIPS)

Final score
84.27 of 100Reported as individual
Quality
68.33
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy81
Upper gastrointestinal (GI) endoscopy for acid reflux66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MB40513NJMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of New Jersey, LLC Gastroenterology CurrentSince Aug 1, 2015 Accepting new patients

Locations

15-01 Broadway
Ste 34
Fair Lawn, NJ 07410
Phone (201) 794-6808

80 Eisenhower Dr
Paramus, NJ 07652
Phone (201) 336-1100

301 Lakehurst Rd
Toms River, NJ 08755
Phone (732) 281-1590

205 Browertown Rd
Woodland Park, NJ 07424
Phone (973) 785-8888

1130 McBride Ave
Fl 3
Woodland Park, NJ 07424
Phone (973) 785-2277

Interoperability endpoints

  • Direct secure messaging: donald.kutner@ganj.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JJIGAA

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1477522712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15-01 BROADWAY STE 34",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074106006",
            "telephone_number": "201-794-6808",
            "fax_number": "201-797-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15-01 BROADWAY",
            "address_2": "SUITE 34",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074106003",
            "telephone_number": "201-794-6808",
            "fax_number": "201-797-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTNER",
        "first_name": "DONALD",
        "middle_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "MB40513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0714607",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.