Individual provider Active NPI

Mohsen A Kalliny, M.D.

  • Anesthesiology Physician
  • Brick, NJ
National Provider Identifier
1629009568
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA07064000 Issued in NJ
Practice address
425 Jack Martin Blvd
Brick, NJ 08724-7732
Phone
(732) 840-2200
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 25MA07064000 NJ
Anesthesiology Physician 207L00000X 25MA07064000 NJ Primary

Addresses

Primary practice location

425 Jack Martin Blvd
Brick, NJ 08724-7732

Mailing address

PO Box 307
Neptune, NJ 07754-0307
Phone (732) 897-0200

Other practice location 1

1945 State Route 33
Neptune, NJ 07753-4859
Phone (732) 897-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 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

Enrollment IDStateProvider typePAC IDDetails
I20050906000344 NJ Practitioner - Anesthesiology 3476585928 Reassigns benefits to 6 organizations
I20200923001217 NY Practitioner - AnesthesiologyPractitioner - Pain Management 3476585928

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkway Anesthesia Associates LLCGroup PAC ID 2567758931, 313 clinicians

Practice addresses (Care Compare)

425 Jack Martin Blvd
Brick, NJ 08724-7732
Phone (732) 840-2200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07064000NJMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Anesthesia Professionals LLC Anesthesiology CurrentSince Jun 1, 2020 Accepting new patients
Centurion Anesthesia Surgical Centers LLC Anesthesiology CurrentSince Dec 1, 2021 Accepting new patients
Allied Digestive Health, LLC Anesthesiology CurrentSince Feb 5, 2024 Accepting new patients
Canj Anesthesia LLC Anesthesiology CurrentSince Dec 1, 2021 Accepting new patients
North American Partners in Anesthesia of New Jersey LLC Anesthesiology CurrentSince Apr 19, 2023 Accepting new patients
Parkway Anesthesia Associates LLC Anesthesiology CurrentSince Dec 18, 2023 Accepting new patients
New Jersey Healthcare Specialists PC Anesthesiology CurrentSince Sep 1, 2020 Accepting new patients
Regional Orthopedic Professional Association CurrentSince Mar 1, 2007 Accepting new patients
Perioperative Ambulatory Anesthesiology Partners, LLC Anesthesiology Past Accepting new patients
Rancocas Anesthesiology, P.a. Past Accepting new patients
Jersey Shore Anesthesiology Associates PA Anesthesiology Past Accepting new patients
Atlantic Coast Gastroenterology Associates Past Accepting new patients
Advanced Gastroenterology Associates, LLC PastSince Feb 5, 2024 Accepting new patients
Pain Institute of New Jersey, PA Past Accepting new patients

Locations

6464 W Sunset Blvd
Ste 790
Los Angeles, CA 90028

495 Jack Martin Blvd
Brick, NJ 08724
Phone (732) 202-9222

55 Willow Ln
Ste 201
Englishtown, NJ 07726
Phone (732) 370-2220

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

321 Essex St
Hackensack, NJ 07601
Phone (201) 692-9800

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

130 Gaither Dr
Ste 160
Mount Laurel, NJ 08054
Phone (609) 722-7000

1945 Corlies Ave
Neptune City, NJ 07753
Phone (732) 776-4203

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

42 Throckmorton Ln
Old Bridge, NJ 08857
Phone (732) 607-1111

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1629009568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077540307",
            "telephone_number": "732-897-0200",
            "fax_number": "732-897-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 JACK MARTIN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247732",
            "telephone_number": "732-840-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1945 State Route 33",
            "address_purpose": "LOCATION",
            "city": "Neptune",
            "state": "NJ",
            "postal_code": "077534859",
            "country_code": "US",
            "telephone_number": "732-897-0200",
            "fax_number": "732-897-0263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALLINY",
        "first_name": "MOHSEN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MA07064000",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA07064000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.