Active NPI
George Kipel, M.D.
- Pediatric Cardiology Physician
- Hackensack, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 25MA05145300
- Practice address
- 155 Polifly Rd
Suite 106
Hackensack, NJ 07601-1758 - Phone
- (201) 487-7617
- Fax
- (201) 342-5341
- NPI assigned
- May 26, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | 25MA05145300 | NJ | Primary |
Addresses
Primary practice location
155 Polifly Rd
Suite 106
Hackensack, NJ 07601-1758
Mailing address
155 Polifly Rd
Suite 106
Hackensack, NJ 07601-1758
Phone (201) 487-7617
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5593107 | Medicaid | NJ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gkipel11395@direct.uhnj.org | Direct | University Hospital |
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
- Pediatric Medicine
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
155 Polifly Rd
Hackensack, NJ 07601-1758
Phone (201) 487-7617
30 Prospect Ave
Hackensack, NJ 07601-1915
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.33 of 100
- Quality
- 66.38
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Associates of New Jersey Inc | Current | Accepting new patients | |
| University Physician Associates of New Jersey Inc | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Complex Care PC | Past | Accepting new patients |
Locations
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
155 Polifly Rd
Ste 106
Hackensack, NJ 07601
Phone (201) 441-9980
150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056
90 Bergen St
Newark, NJ 07103
Phone (973) 972-0037
Interoperability endpoints
- gkipel189853@ahs.direct-ci.com
- george.kipel@direct.hackensackmeridian.org
- https://fhir4.healow.com/fhir/r4/IHJHBD
Organizations & group practices 5
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.
-
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- NPI 1215989249
-
- Pediatrics Physician
- Newark, NJ
- NPI 1679583272
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Internal Medicine Physician
- Newark, NJ
- NPI 1760492367
-
- Internal Medicine Physician
- Red Bank, NJ
- NPI 1154379626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1548216690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 POLIFLY RD",
"address_2": "SUITE 106",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011758",
"telephone_number": "201-487-7617",
"fax_number": "201-342-5341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 POLIFLY RD",
"address_2": "SUITE 106",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011758",
"telephone_number": "201-487-7617",
"fax_number": "201-342-5341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIPEL",
"first_name": "GEORGE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "NJ",
"license": "25MA05145300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5593107",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gkipel11395@direct.uhnj.org",
"affiliation": "Y",
"endpointDescription": "EPIC",
"affiliationName": "University Hospital",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "150 Bergen St",
"city": "Newark",
"state": "NJ",
"country_code": "US",
"postal_code": "071032496",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.