NPIMap

Individual provider Active NPI

Kush Sachdeva, MD

  • Specialist
  • Vineland, NJ
National Provider Identifier
1750372686
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
1505 W Sherman Ave
Suite 101
Vineland, NJ 08360-6912
Phone
(856) 696-9550
Fax
(856) 691-1686
NPI assigned
Oct 31, 2005
Last updated
Sep 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

1505 W Sherman Ave
Suite 101
Vineland, NJ 08360-6912

Mailing address

1505 W Sherman Ave
Suite 101
Vineland, NJ 08360-6912
Phone (856) 696-9550

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
I20120206000757 NJ Practitioner - Hematology/Oncology 8426061482 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shore Memorial HospitalGroup PAC ID 1052493202, 18 clinicians
Southern Oncology Hematology AssocGroup PAC ID 2163435124, 6 clinicians

Practice addresses (Care Compare)

1 E New York Ave
Somers Point, NJ 08244-2340
Phone (609) 653-3500

1505 W Sherman Ave
Suite 101
Vineland, NJ 08360-7059
Phone (856) 696-9550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.06 of 100Reported as group
Quality
89.07
Improvement activities
40
Cost
87.89

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Oncology Hematology Assoc Specialist CurrentSince Jul 5, 2001 Accepting new patients
Community Health Care, Inc. CurrentSince Mar 14, 2018 Accepting new patients
Community Health Care, Inc. CurrentSince Mar 14, 2018 Accepting new patients
Philhaven Past Accepting new patients

Locations

30 N Pearl St
Bridgeton, NJ 08302

335 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720

530 High St N
Millville, NJ 08332
Phone (856) 506-8556

100 Medical Center Way
Somers Point, NJ 08244
Phone (609) 272-0506

1505 W Sherman Ave
#101
Vineland, NJ 08360
Phone (856) 696-9550

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1750372686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 W SHERMAN AVE",
            "address_2": "SUITE 101",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606912",
            "telephone_number": "856-696-9550",
            "fax_number": "856-691-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 W SHERMAN AVE",
            "address_2": "SUITE 101",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606912",
            "telephone_number": "856-696-9550",
            "fax_number": "856-691-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACHDEVA",
        "first_name": "KUSH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.