NPIMap

Individual provider Active NPI

Oleg Kaim, M.D.

  • Internal Medicine Physician
  • Englewood, NJ
National Provider Identifier
1730133141
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06193500 Issued in NJ
Practice address
214 Engle St
Suite 11
Englewood, NJ 07631-2418
Phone
(201) 567-4488
Fax
(201) 567-4771
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA06193500 NJ Primary

Addresses

Primary practice location

214 Engle St
Suite 11
Englewood, NJ 07631-2418

Mailing address

214 Engle St
Suite 11
Englewood, NJ 07631-2418
Phone (201) 567-4488

Other identifiers 1

IdentifierTypeStateIssuer
6651208MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050617000119 NJ Practitioner - Internal Medicine 2961446265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

214 Engle St
Suite 11
Englewood, NJ 07631-2418
Phone (201) 567-4488

Hospital & facility affiliations

  • Valley Home Care Inc. Home health agency, Paramus, NJ, CCN 317008
  • Visiting Nurse Association of Englewood, Inc Home health agency, Englewood, NJ, CCN 317022
  • Amedisys Home Health Home health agency, Hackensack, NJ, CCN 317047
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
  • Valley Hospital Hospital, Paramus, NJ, CCN 310012
  • Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

Merit-based Incentive Payment System (MIPS)

Final score
28.8 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
95.99

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06193500NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oleg Kaim, M.D., P.C. Internal Medicine CurrentSince Dec 15, 1995 Accepting new patients
Vladimir Melamed, M.D, P.C Internal Medicine CurrentSince Feb 11, 2013 Accepting new patients

Locations

214 Engle St
Ste 11
Englewood, NJ 07631
Phone (201) 567-4488

Organizations & group practices 2

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.

Hospital & facility affiliations 9

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1730133141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 ENGLE ST",
            "address_2": "SUITE 11",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312418",
            "telephone_number": "201-567-4488",
            "fax_number": "201-567-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 ENGLE ST",
            "address_2": "SUITE 11",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312418",
            "telephone_number": "201-567-4488",
            "fax_number": "201-567-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAIM",
        "first_name": "OLEG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06193500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6651208",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.