Individual provider Active NPI

Amer H Kashoqa, M.D.

  • Psychiatry Physician
  • Wayne, NJ
National Provider Identifier
1972615078
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA05742700 Issued in NJ
Practice address
506 Hamburg Tpke
Suite 203
Wayne, NJ 07470-2069
Phone
(973) 633-1996
Fax
(973) 633-8078
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA05742700 NJ Primary

Addresses

Primary practice location

506 Hamburg Tpke
Suite 203
Wayne, NJ 07470-2069

Mailing address

506 Hamburg Tpke
Suite 203
Wayne, NJ 07470-2068
Phone (973) 633-1996

Other identifiers 1

IdentifierTypeStateIssuer
5524504MedicaidNJ

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
I20110914000362 NJ Practitioner - Psychiatry 9830360387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Rutgers New Jersey Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kashoqa Psychiatry Associates PCGroup PAC ID 8921279472, 2 clinicians

Practice addresses (Care Compare)

506 Hamburg Tpke
Suite 203
Wayne, NJ 07470-2069
Phone (973) 633-1996

Merit-based Incentive Payment System (MIPS)

Final score
24.15 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
80.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05742700NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kashoqa Psychiatry Associates PC Psychiatry CurrentSince Jul 12, 2011 Accepting new patients

Locations

1340 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 633-1996

506 Hamburg Tpke
Ste 203
Wayne, NJ 07470
Phone (973) 633-1996

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1972615078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 HAMBURG TPKE",
            "address_2": "SUITE 203",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702068",
            "telephone_number": "973-633-1996",
            "fax_number": "973-633-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 HAMBURG TPKE",
            "address_2": "SUITE 203",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702069",
            "telephone_number": "973-633-1996",
            "fax_number": "973-633-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASHOQA",
        "first_name": "AMER",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA05742700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5524504",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.