Individual provider Active NPI

David Adam Kiken, M.D.

  • Procedural Dermatology Physician
  • Florham Park, NJ
National Provider Identifier
1801004114
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
25MA0837050 Issued in NJ
Practice address
205 Ridgedale Ave
Suite 4
Florham Park, NJ 07932-1349
Phone
(973) 301-9500
Fax
(973) 301-0435
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A89501 CA
Dermatology Physician 207N00000X 233992-1 NY
Procedural Dermatology Physician 207NS0135X 25MA0837050 NJ Primary

Addresses

Primary practice location

205 Ridgedale Ave
Suite 4
Florham Park, NJ 07932-1349

Mailing address

205 Ridgedale Ave
Suite A3
Florham Park, NJ 07932-1349
Phone (973) 301-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090430000352 NJ Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 4385792365 Reassigns benefits to 2 organizations
I20090831000399 NY Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 4385792365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
New York University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Patricia C McCormack MD PCGroup PAC ID 7810150109, 10 clinicians

Practice addresses (Care Compare)

1550 Richmond Ave
Staten Island, NY 10314-1578

205 Ridgedale Ave
Suite 4
Florham Park, NJ 07932-1349
Phone (973) 301-9500

515 N Wood Ave
Linden, NJ 07036-4038
Phone (908) 925-8877

Hospital & facility affiliations

  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision885
Removal of skin lesions2350
Removal of skin cancer1551
Removal of nail tissue14
Removal or shaving of skin growth1266
Skin biopsy2331

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A89501CAMDDermatology Physician
233992-1NYMDDermatology Physician
25MA0837050NJMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology and Skin Surgery Center, Professional Association Dermatology CurrentSince Aug 2, 2009 Accepting new patients
Patricia C McCormack MD PC Dermatology CurrentSince Feb 20, 2015 Accepting new patients
Cindy Hoffman DO PC Dermatology Past Accepting new patients

Locations

220 Ridgedale Ave
Ste A3
Florham Park, NJ 07932
Phone (973) 466-6333

205 Ridgedale Ave
Ste A3
Florham Park, NJ 07932

205 Ridgedale Ave
Ste 4
Florham Park, NJ 07932
Phone (973) 301-9500

515 N Wood Ave
Linden, NJ 07036
Phone (908) 241-2030

515 N Wood Ave
Ste 101
Linden, NJ 07036
Phone (908) 486-5000

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

407 Richmond Ave
Point Pleasant Beach, NJ 08742
Phone (201) 926-6151

69 1st Ave
Raritan, NJ 08869
Phone (800) 631-5250

1550 Richmond Ave
Staten Island, NY 10314
Phone (718) 370-7700

1550 Richmond Ave
Ste 207
Staten Island, NY 10314
Phone (718) 698-1616

Organizations & group practices 3

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 1

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1801004114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 RIDGEDALE AVE",
            "address_2": "SUITE A3",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321349",
            "telephone_number": "973-301-9500",
            "fax_number": "973-301-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 RIDGEDALE AVE",
            "address_2": "SUITE 4",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321349",
            "telephone_number": "973-301-9500",
            "fax_number": "973-301-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIKEN",
        "first_name": "DAVID",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A89501",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "233992-1",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NJ",
            "license": "25MA0837050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

Verify at the official NPI Registry.