Theodore Andrew Kastner, M.D.,M.S.

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

License

MA47761 Issued in NJ

Practice address

1285 Broad St
Bloomfield, NJ 07003-3045

Phone

(973) 338-4200

NPI assigned

Jul 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Master of Science

State licenses

Practice roles

Locations

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.

• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152

  Multi-Specialty

  Medicare reassignment NPD
• Developmental Disabilities Health Alliance, Inc

  • Specialist
  • Bloomfield, NJ
  • NPI 1639404486

  Multi-Specialty

  NPD (past) Authorized official
• Montefiore Medical Center

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1194183715
  NPD

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241049600000",
    "number": "1942226154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 BROAD ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033045",
            "telephone_number": "973-338-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 BROAD ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033045",
            "telephone_number": "973-338-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASTNER",
        "first_name": "THEODORE",
        "middle_name": "ANDREW",
        "credential": "M.D.,M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2009-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NJ",
            "license": "MA47761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1212907",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Kanestrin, MSW, LSW
• Alan S Kaplan, DDS
• Barry Alan Kaplan, D.M.D
• Edward Kaplan, DDS
• Marilyn Kaplan, LCSW
• Anthony Hughes Kearney, LCSW
• John Kelly, MD
• Pascale Kerlegrand, M.D.
• Carolyn Kerr, IBCLC
• Muntasir Khaled, DPM

• Intellectual & Developmental Disabilities Psychologist in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Intellectual & Developmental Disabilities Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.