Active NPI
Cassandra Kahn, D.M.D.
- Dentist
- Elizabeth, NJ
National Provider Identifier
1811263171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02497300
- Practice address
- 1124 E Jersey St
Elizabeth, NJ 07201-2406 - Phone
- (908) 469-9100
- NPI assigned
- Mar 30, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02497300 | NJ | Primary |
Addresses
Primary practice location
1124 E Jersey St
Elizabeth, NJ 07201-2406
Mailing address
5413 Berkshire Valley Rd
Oak Ridge, NJ 07438-9810
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02497300 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skolnick Dental Associates Inc | Past | Accepting new patients |
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.
-
dba Childsmiles
- Orthodontics and Dentofacial Orthopedics Dentistry
- Elizabeth, NJ
- NPI 1780925081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433808000000",
"number": "1811263171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5413 BERKSHIRE VALLEY RD",
"city": "OAK RIDGE",
"state": "NJ",
"postal_code": "074389810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 E JERSEY ST",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072012406",
"telephone_number": "908-469-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHN",
"first_name": "CASSANDRA",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-30",
"last_updated": "2015-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02497300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.