Serge I Kaftal, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA46768 Issued in NJ

Legal business name

SERGE I KAFTAL, M.D

Practice address

10 Anderson Hill Rd
Bernardsville, NJ 07924-2323

Phone

(908) 766-1223

NPI assigned

Oct 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Serge Kaftal, M.D

Title

Owner

Phone

(973) 200-4407

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sergiusz I Kaftal, M.D

  • Family Medicine Physician
  • Basking Ridge, NJ
  • NPI 1740204361
  Medicare reassignment NPD

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1972782902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ANDERSON HILL RD",
            "city": "BERNARDSVILLE",
            "state": "NJ",
            "postal_code": "079242323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ANDERSON HILL RD",
            "city": "BERNARDSVILLE",
            "state": "NJ",
            "postal_code": "079242323",
            "telephone_number": "908-766-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERGE I KAFTAL, M.D",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "KAFTAL",
        "authorized_official_first_name": "SERGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-200-4407",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA46768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD9664",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Rose, M.D.,
• Valerie J Rosen, LCSW
• Gabriella Salazar, MS, RD
• Angelo Scarpati, P.T
• Cheryl Schnabolk, LCSW
• Jyoti Shah, MD
• Sheetal K Shah, R.PH.
• Maliha Sheikh, PSY.D
• Melissa Shelkey, MS, CGC
• Yan Shou, PH.D

• Family Medicine Physician in Bernardsville, NJ
• Providers in Bernardsville, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.