Kapila V Paghdal, MD

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

25MA09345800 Issued in NJ

Practice address

400 Route 17
Suite 2
Ridgewood, NJ 07450-2010

Phone

(201) 652-4536

NPI assigned

Jun 23, 2008

Last updated

Sep 10, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ, FL2 enrollments

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 2

Specialty

Dermatology

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Petersburg Dermatology LLCGroup PAC ID 2961782701, 7 clinicians

Bergen Dermatology Specialists PAGroup PAC ID 3870750292, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Bergen Dermatology Specialists PA

  • Dermatology Physician
  • Ridgewood, NJ
  • NPI 1598860280
  Medicare reassignment Care Compare group NPD Authorized official
• St. Petersburg Dermatology, LLC

  • Dermatology Physician
  • St Petersburg, FL
  • NPI 1205381175
  Medicare reassignment Care Compare group
• Advanced Dermatology of New Jersey PC

  • Procedural Dermatology Physician
  • Ridgewood, NJ
  • NPI 1225362783
  Medicare reassignment NPD
• Allen N. Sapadin, M.D., PC

  • Dermatology Physician
  • Hackensack, NJ
  • NPI 1245477348

  Mohs-Micrographic Surgery

  Medicare reassignment NPD
• Indigo Dermatology LLC

  • Specialist
  • Melbourne, FL
  • NPI 1659743094
  Medicare reassignment NPD
• Allen N. Sapadin, M.D., LLC

  • Procedural Dermatology Physician
  • Hackensack, NJ
  • NPI 1629190939

  Mohs-Micrographic Surgery

  NPD (past)
• Shonta D Collins Consulting Group LLC

  • Nurse Practitioner
  • Old Bridge, NJ
  • NPI 1144797416
  NPD (past)

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1578724571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ROUTE 17",
            "address_2": "SUITE 2",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502010",
            "telephone_number": "201-652-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ROUTE 17",
            "address_2": "SUITE 2",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502010",
            "telephone_number": "201-652-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGHDAL",
        "first_name": "KAPILA",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME112585",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NJ",
            "license": "25MA09345800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012209600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Osit, M.A., ED.S.
• Osteopathic Wellness of New Jersey, LLC
• Our Space Northeast
• Teresa Owens, MA, ATR-BC, CGP
• Anthony Pacione, PA-C
• Paige Applebaum Farkas MD PA
• Pain and Rehabilitation Medicine LLC
• Jessy R Palamattam, M.D.
• Jeanne E Palazzo, LCSW
• Nina R Paleologos, LCSW

• Procedural Dermatology Physician in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Procedural Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.

Verify at the official NPI Registry.