NPIMap

Individual provider Active NPI

Daniel Kallush, DO

  • Emergency Medicine Physician
  • Bergenfield, NJ
National Provider Identifier
1700463502
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS023104 Issued in PA
Practice address
70 Garden St
Bergenfield, NJ 07621-2744
Phone
(215) 410-1066
NPI assigned
Mar 26, 2021
Last updated
Jul 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS023104 PA Primary

Addresses

Primary practice location

70 Garden St
Bergenfield, NJ 07621-2744

Mailing address

70 Garden St
Bergenfield, NJ 07621-2744
Phone (215) 410-1066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ, NY3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20231109002373 PA Practitioner - Emergency Medicine 0042667263 Reassigns benefits to 5 organizations
I20240711003993 NJ Practitioner - Emergency Medicine 0042667263 Reassigns benefits to 2 organizations
I20250501002123 NY Practitioner - Emergency Medicine 0042667263 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Philadelphia College of Osteopathic Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nyack Emergency Medical Association PLLCGroup PAC ID 2062411036, 59 clinicians

Practice addresses (Care Compare)

1 Hospital Dr
Lewisburg, PA 17837-9350
Phone (570) 522-2641

160 N Midland Ave
Nyack, NY 10960-1912
Phone (954) 939-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
89.49
Promoting interoperability
100
Improvement activities
40
Cost
82.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
335166NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Evangelical Medical Services Organization CurrentSince Oct 6, 2025 Accepting new patients
Wellspan Medical Group CurrentSince Dec 1, 2025 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Nyack Emergency Medical Association PLLC Emergency Medicine CurrentSince Feb 1, 2025 Accepting new patients
Evangelical Medical Services Organization Current Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Evangelical Medical Services Organization CurrentSince Oct 6, 2025 Accepting new patients
Patient Care Now, LLC CurrentSince Sep 16, 2023 Accepting new patients
Wellspan Medical Group CurrentSince Dec 1, 2025 Accepting new patients
Upstate Ny Physician PLLC Emergency Medicine CurrentSince Oct 9, 2025 Accepting new patients
Island Emergency Medical Services, P.C. Emergency Medicine CurrentSince Feb 9, 2026 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Cooper Univeristy Emergency Physicians, PC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients

Locations

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

310 Salem Woodstown Rd
Salem, NJ 08079
Phone (856) 339-6054

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

103 Sitterly Rd
Halfmoon, NY 12065
Phone (518) 579-2700

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

541 S Oxford Valley Rd
Fairless Hls, PA 19030
Phone (215) 901-0573

1 Hospital Dr
Lewisburg, PA 17837
Phone (570) 522-2000

25 Lystra Rogers Dr
Lewisburg, PA 17837
Phone (570) 523-3290

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

700 High St
Williamsport, PA 17701
Phone (570) 321-2000

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

Interoperability endpoints

  • Direct secure messaging: dkallush183365@direct.cooperhealth.edu
  • Direct secure messaging: dkallush500524@wellspan.direct-ci.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 10

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": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1700463502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 GARDEN ST",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212744",
            "telephone_number": "215-410-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 GARDEN ST",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212744",
            "telephone_number": "215-410-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLUSH",
        "first_name": "DANIEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-26",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS023104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bergenfield, NJ

Sources for this page

Verify at the official NPI Registry.