Hirshel Kahn, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MA074592 Issued in NJ

Practice address

1200 E Ridgewood Ave
Ridgewood, NJ 07450-3957

Phone

(201) 493-1717

Fax

(201) 493-1009

NPI assigned

Jul 28, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Specialty

Dermatology

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Dermatology PCGroup PAC ID 3274526850, 67 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: hirshel.kahn@oda.eclinicaldirectplus.com
• Direct secure messaging: hkahn@advderm.emadirect.md

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.

• Advanced Dermatology PC

  • Dermatology Physician
  • New Hyde Park, NY
  • NPI 1134201460
  Medicare reassignment Care Compare group NPD
• Advanced Dermatology of New Jersey PC

  • Procedural Dermatology Physician
  • Ridgewood, NJ
  • NPI 1225362783
  NPD (past)
• Advanced Surgical Center of Bergen County, P.C.

  • Ambulatory Surgical Clinic/Center
  • Ridgewood, NJ
  • NPI 1679966907
  NPD (past)
• Paige Applebaum Farkas MD PA

  • Dermatology Physician
  • Ridgewood, NJ
  • NPI 1760547707
  NPD (past)
• City Central Dermatology PLLC

  • Specialist
  • Elmhurst, NY
  • NPI 1780977579
  NPD (past)
• Howard D. Solomon, DO, PC

  • Procedural Dermatology Physician
  • Forest Hills, NY
  • NPI 1598054520
  NPD (past)
• Oda Primary Health Care Network, Inc.

  • Primary Care Clinic/Center
  • Brooklyn, NY
  • NPI 1720177066
  NPD (past)
• Richard S. Berry MDPC

  • Specialist
  • Brooklyn, NY
  • NPI 1952311946

  Dermatology

  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1700890159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E RIDGEWOOD AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503957",
            "telephone_number": "201-493-1717",
            "fax_number": "201-493-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E RIDGEWOOD AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503957",
            "telephone_number": "201-493-1717",
            "fax_number": "201-493-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN",
        "first_name": "HIRSHEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "MA074592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "D071247",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joe Juliano, RDN
• Ju Eun Jun, PHARMD
• Nancy Just, PH.D.
• Rupa Gopalan Juthani, M.D.
• Victoria R Kaczkowski, LPC LCADC
• John A. Kakolewski, MS,ED.S
• Amita Kalia-Sharma, M.D
• Katherine A Kandravy, LCSW
• Robin Deborah Kanen, PSY.D.
• Steven Jay Kanengiser, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.