Michael Edwin Kafrissen, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD017180E Issued in PA

Practice address

1000 Route 202
Raritan, NJ 08869-1425

Phone

(908) 704-4609

Fax

(908) 218-0460

NPI assigned

Nov 24, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1619205929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 165",
            "city": "GLADSTONE",
            "state": "NJ",
            "postal_code": "079340165",
            "telephone_number": "908-704-4609",
            "fax_number": "908-218-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ROUTE 202",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088691425",
            "telephone_number": "908-704-4609",
            "fax_number": "908-218-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAFRISSEN",
        "first_name": "MICHAEL",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-24",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD017180E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John F. Raziano D.M.D. ,PA
• Matthew Perry Johnson
• Jonathan Koren D.M.D.,P.C.
• Lisa J Jordan-Scalia, DO
• Stephen P. Judd, PT
• Cyprin Kanneh, ANP
• Ani Kashia
• Elene Kashia
• Victoria Kasserman
• Wyatt Kasserman, PT, DPT

• General Practice Physician in Raritan, NJ
• Providers in Raritan, NJ by specialty
• General Practice Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.