Individual provider Active NPI

Yevgeniy I Khesin, M.D.

  • Neurology Physician
  • Newton, NJ
National Provider Identifier
1821098500
Registry record updated Dec 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA07710000 Issued in NJ
Practice address
183 High St
Suite 1200
Newton, NJ 07860-9601
Phone
(973) 300-0579
Fax
(973) 300-5535
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD423661 PA
Neurology Physician 2084N0400X 25MA07710000 NJ Primary

Addresses

Primary practice location

183 High St
Suite 1200
Newton, NJ 07860-9601

Mailing address

183 High St
Suite 1200
Newton, NJ 07860-9601
Phone (973) 300-0579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 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
I20040520000592 NJ Practitioner - Neurology 5991796765 Reassigns benefits to 2 organizations
I20040625000125 PA Practitioner - Neurology 5991796765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Medical Group of New JerseyGroup PAC ID 4082979166, 299 clinicians

Practice addresses (Care Compare)

111 E Catherine St
Suite 220
Milford, PA 18337-1348
Phone (570) 296-4500

376 Lafayette Rd
Suite 107
Sparta, NJ 07871-3560
Phone (908) 979-1621

59 Koch Ave
Morris Plains, NJ 07950-4400
Phone (973) 538-1800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.26 of 100Reported as individual
Quality
56.72
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07710000NJMDNeurology Physician
MD423661PAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of New Jersey Omb Centralized Payroll CurrentSince Sep 3, 2013 Accepting new patients
The Radiology Group of New Jersey, LLC CurrentSince Jan 1, 2024 Accepting new patients
Monmouth Digestive Health LLC PastSince Aug 17, 2020 Accepting new patients

Locations

145 Wyckoff Rd
Ste 201
Eatontown, NJ 07724
Phone (732) 597-7333

57 US Highway 46
Ste 212
Hackettstown, NJ 07840

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

59 Koch Ave
Morris Plains, NJ 07950
Phone (973) 889-4390

183 High St
Ste 1200
Newton, NJ 07860
Phone (973) 300-0579

222 High St
Ste 205
Newton, NJ 07860
Phone (973) 579-4060

175 High St
Newton, NJ 07860
Phone (973) 383-2121

376 Lafayette Rd
Ste 107
Sparta, NJ 07871
Phone (973) 729-0002

111 E Catherine St
Ste 220
Milford, PA 18337
Phone (570) 296-2055

104 Bennett Ave
Ste 2B
Milford, PA 18337
Phone (570) 296-5188

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261526400000",
    "number": "1821098500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 HIGH ST",
            "address_2": "SUITE 1200",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078609601",
            "telephone_number": "973-300-0579",
            "fax_number": "973-300-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 HIGH ST",
            "address_2": "SUITE 1200",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078609601",
            "telephone_number": "973-300-0579",
            "fax_number": "973-300-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHESIN",
        "first_name": "YEVGENIY",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2009-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD423661",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA07710000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

Verify at the official NPI Registry.