Active NPI
Satish Kantilal Kadakia, M.D.
- Neurology with Special Qualifications in Child Neurology Physician
- Bridgewater, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 25MA04501600
- Practice address
- 1200 Route 22 Ste 16
Bridgewater, NJ 08807-2943 - Phone
- (908) 218-1180
- Fax
- (732) 463-6064
- NPI assigned
- Feb 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 167495 | NY | |
| Pediatric Neurodevelopmental Disabilities Physician | 2080P0008X | 167495 | NY | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 25MA04501600 | NJ | Primary |
Addresses
Primary practice location
1200 Route 22 Ste 16
Bridgewater, NJ 08807-2943
Mailing address
379 Campus Dr FL 4
Somerset, NJ 08873-1161
Phone (732) 937-8939
Other practice location 1
2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone (516) 572-3107
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01402340 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 98.51 of 100
- Quality
- 84.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA04501600 | NJ | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Charles Evans Center, Inc | Current | Accepting new patients | |
| Nassau Health Care Corporation | Current | Accepting new patients | |
| Nassau Health Care Corporation | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Nassau Health Care Corporation | Current | Accepting new patients |
Locations
1200 Route 22
Ste 16
Bridgewater, NJ 08807
Phone (908) 218-1180
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545
857 S Oyster Bay Rd
Bethpage, NY 11714
Phone (516) 622-8888
2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234
2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862
113 Glen Cove Ave
Glen Cove, NY 11542
Phone (516) 622-8888
682 Union Ave
Westbury, NY 11590
Phone (516) 571-9500
Interoperability endpoints
- satish.kadakia@lifqhc.eclinicaldirectplus.com
Organizations & group practices 7
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.
-
- Specialist
- Elizabeth, NJ
- NPI 1841557246
-
- General Acute Care Hospital
- East Meadow, NY
- NPI 1902822992
-
- Federally Qualified Health Center (FQHC)
- Bethpage, NY
- NPI 1972982007
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1316772668
-
- Federally Qualified Health Center (FQHC)
- Seaford, NY
- NPI 1215596614
-
- General Acute Care Hospital
- East Meadow, NY
- NPI 1730530940
-
- General Acute Care Hospital
- East Meadow, NY
- NPI 1811912405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1801862016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "379 CAMPUS DR FL 4",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088731161",
"telephone_number": "732-937-8939",
"fax_number": "732-418-8372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 ROUTE 22 STE 16",
"city": "BRIDGEWATER",
"state": "NJ",
"postal_code": "088072943",
"telephone_number": "908-218-1180",
"fax_number": "732-463-6064"
}
],
"practiceLocations": [
{
"address_1": "2201 Hempstead Tpke",
"address_purpose": "LOCATION",
"city": "East Meadow",
"state": "NY",
"postal_code": "115541859",
"country_code": "US",
"telephone_number": "516-572-3107",
"fax_number": "516-572-5715",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KADAKIA",
"first_name": "SATISH",
"middle_name": "KANTILAL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "167495",
"primary": false
},
{
"code": "2080P0008X",
"taxonomy_group": "",
"desc": "Pediatrics, Neurodevelopmental Disabilities",
"state": "NY",
"license": "167495",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "NJ",
"license": "25MA04501600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01402340",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bridgewater, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.