Individual provider Active NPI

Anthony Joseph Kash Jr., D.M.D,

  • Pediatric Dentistry
  • West Deptford, NJ
National Provider Identifier
1750577227
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
22DI02367600 Issued in NJ
Practice address
776 Grove Rd
West Deptford, NJ 08086-2234
Phone
(856) 848-2211
Fax
(856) 848-8630
NPI assigned
Sep 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DS037339 PA
Pediatric Dentistry 1223P0221X 22DI02367600 NJ Primary

Addresses

Primary practice location

776 Grove Rd
West Deptford, NJ 08086-2234

Mailing address

776 Grove Rd
West Deptford, NJ 08086-2234
Phone (856) 848-2211

Other practice location 1

400 Greentree Rd
Sewell, NJ 08080-9353
Phone (856) 589-6886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI02367600NJMDPediatric Dentist
DS037339PAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Stuart a Wasserlauf DDS PA PastSince Dec 29, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: akash104952@direct.nemours.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1750577227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 GROVE RD",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080862234",
            "telephone_number": "856-848-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 GROVE RD",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080862234",
            "telephone_number": "856-848-2211",
            "fax_number": "856-848-8630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Greentree Rd",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080809353",
            "country_code": "US",
            "telephone_number": "856-589-6886",
            "fax_number": "856-589-0480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASH",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-19",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS037339",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI02367600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Deptford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.