Active NPI
Kamal F Kassis, M.D.
- Surgery Physician
- Galloway, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 25MA03404000
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1755102 | Medicaid | NJ |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 92.6 of 100
- Quality
- 98.86
- Improvement activities
- 40
- Cost
- 77.42
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.06 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA03404000 | NJ | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Radiologists Professional Association LLC | Current | Accepting new patients | |
| Atlantic Medical Imaging | Current | Accepting new patients | |
| Ami Atlanticare LLC | Current | 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.
-
- Radiology Clinic/Center
- Hammonton, NJ
- NPI 1275762023
-
- Specialist
- Galloway, NJ
- NPI 1396771556
-
- Diagnostic Radiology Physician
- Atlantic City, NJ
- NPI 1841438728
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.