Individual provider Active NPI

Kamal F Kassis, M.D.

  • Surgery Physician
  • Galloway, NJ
National Provider Identifier
1831292010
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA03404000 Issued in NJ
Practice address
415 Chris Gaupp Dr
Chris Gaupp Professional BLDG Suite E
Galloway, NJ 08205-4440
Phone
(609) 652-5577
Fax
(609) 652-1977
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MA03404000 NJ Primary

Addresses

Primary practice location

415 Chris Gaupp Dr
Chris Gaupp Professional BLDG Suite E
Galloway, NJ 08205-4440

Mailing address

415 Chris Gaupp Dr
Chris Gaupp Professional BLDG Suite E
Galloway, NJ 08205-4440
Phone (609) 652-5577

Other identifiers 1

IdentifierTypeStateIssuer
1755102MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051206000062 NJ Practitioner - General Surgery 3779503396 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.6 of 100Reported as group
Quality
98.86
Improvement activities
40
Cost
77.42

Merit-based Incentive Payment System (MIPS)

Final score
87.06 of 100Reported as group
Quality
84.68
Improvement activities
40
Cost
71.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA03404000NJMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Radiologists Professional Association LLC CurrentSince Jul 1, 2017 Accepting new patients
Atlantic Medical Imaging CurrentSince Jul 1, 2017 Accepting new patients
Ami Atlanticare LLC CurrentSince Jul 1, 2017 Accepting new patients

Locations

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

495 Jack Martin Blvd
Brick, NJ 08724
Phone (732) 202-9222

72 W Jimmie Leeds Rd
Ste 1100
Galloway, NJ 08205
Phone (609) 652-6815

44 E Jimmie Leeds Rd
Ste 101
Galloway, NJ 08205
Phone (609) 652-7349

415 Chris Gaupp Dr
Ste E
Galloway, NJ 08205
Phone (609) 652-5577

219 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 878-9729

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

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.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831292010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 CHRIS GAUPP DR",
            "address_2": "CHRIS GAUPP PROFESSIONAL BLDG SUITE E",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054440",
            "telephone_number": "609-652-5577",
            "fax_number": "609-652-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 CHRIS GAUPP DR",
            "address_2": "CHRIS GAUPP PROFESSIONAL BLDG SUITE E",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054440",
            "telephone_number": "609-652-5577",
            "fax_number": "609-652-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSIS",
        "first_name": "KAMAL",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA03404000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1755102",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

Verify at the official NPI Registry.