Sergiusz I Kaftal, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA46768 Issued in NJ

Practice address

150 N Finley Ave # 207
Basking Ridge, NJ 07920-1686

Phone

(908) 766-1223

NPI assigned

Jul 27, 2006

Last updated

Dec 26, 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 7

Medicare fee-for-service enrollment

Enrolled in NJ

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

Family Practice

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Azz Medical Associates PCGroup PAC ID 6002132685, 63 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Patient Care Home health agency, West Orange, NJ, CCN 317060
• Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
• Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
• Pine Acres Rehabilitation and Healthcare Nursing home, Madison, NJ, CCN 315053

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hackensackmeridian.sergekaftal@136290.advancedmd-direct.com

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.

• Azz Medical Associates PC

  • Internal Medicine Physician
  • Ewing, NJ
  • NPI 1699704809
  Medicare reassignment Care Compare group
• Central Jersey Urgent Care

  • Urgent Care Clinic/Center
  • Ocean, NJ
  • NPI 1316285091
  Medicare reassignment NPD
• Prohealth Urgent Care Medicine of New Jersey LLP

  • Emergency Care Clinic/Center
  • Edgewater, NJ
  • NPI 1477927754
  Medicare reassignment NPD
• Serge I Kaftal, M.D

  • Family Medicine Physician
  • Bernardsville, NJ
  • NPI 1972782902
  Medicare reassignment NPD
• SKR Medical Advisors

  • Urgent Care Clinic/Center
  • Lyndhurst, NJ
  • NPI 1184971558
  Medicare reassignment NPD
• Central Jersey Urgent Care

  • Urgent Care Clinic/Center
  • Skillman, NJ
  • NPI 1407421985
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahs Hospital Corp.

  dba Morristown Medical Center

  • General Acute Care Hospital
  • Morristown, NJ
  • NPI 1053384776
  Care Compare affiliation
• Cooperman Barnabas Medical Center Inc

  • General Acute Care Hospital
  • Livingston, NJ
  • NPI 1396857488
  Care Compare affiliation
• Hallmark Healthcare Limited Liability Company

  dba Pine Acres Convalescent Center

  • Skilled Nursing Facility
  • Madison, NJ
  • NPI 1326367228

  Nursing home

  Care Compare affiliation
• Patient Care Medical Services, Inc.

  dba Patient Care

  • Home Health Agency
  • West Orange, NJ
  • NPI 1922089929
  Care Compare affiliation

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1740204361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N FINLEY AVE # 207",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079201686",
            "telephone_number": "908-766-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N FINLEY AVE # 207",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079201686",
            "telephone_number": "908-766-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAFTAL",
        "first_name": "SERGIUSZ",
        "middle_name": "I",
        "name_prefix": "Mr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA46768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "223498100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "0K3680",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "223498100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "223498100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00263171",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0464660001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "22-3498100",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Svetlana Karasina
• James Douglas Kavanaugh, D.M.D.

• Family Medicine Physician in Basking Ridge, NJ
• Providers in Basking Ridge, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.