Jay M Kashkin
SOVEREIGN MEDICAL GROUP LLC


Address: 23-00 Route 208, Suite 2 1, Fair Lawn, NJ 07410-1558
Phone: 2017947400

Jay M Kashkin (NPI# 1235128497, PAC ID# 6800070400) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1235128497
PAC ID by PECOS 6800070400
Professional Enrollment ID I20110406000110
Full Name Jay M Kashkin
Organization Legal Name SOVEREIGN MEDICAL GROUP LLC
Address 23-00 Route 208
Suite 2 1
Fair Lawn
NJ 07410-1558
Phone Number 2017947400
Gender M
Graduation Year 1983
Primary Specialty PEDIATRIC MEDICINE
Secondary Specialties ALLERGY/IMMUNOLOGY
Group Practice PAC ID 1456535392
Number of Group Practice Members 38
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
310012 VALLEY HOSPITAL

Other Locations

Address Phone Organization
23-00 Route 208, Suite 2 1, Fair Lawn, NJ 07410-1558 2017947400 SOVEREIGN MEDICAL GROUP LLC
15 -01 Broadway Rt 4, Suite 3, Fairlawn, NJ 07410-6006 2017914544 SOVEREIGN MEDICAL GROUP LLC
15-01 Broadway Route 4 W, Suite 1, Fairlawn, NJ 07410-6006 2017914544 SOVEREIGN MEDICAL GROUP LLC

Organization Information

Organization Legal Name SOVEREIGN MEDICAL GROUP LLC
Physicians 41

Physicians with the same organization

Name Specialty Organization Address
Karen M Bellapianta Otolaryngology Sovereign Medical Group LLC 85 Harristown, Suite 105, Glen Rock, NJ 07452-3307
Raffaella L Kalishman Internal Medicine Sovereign Medical Group LLC 85 Harristown Rd, Suite 104, Glen Rock, NJ 07452-3323
Elliot L Shulman Urology Sovereign Medical Group LLC 807 Kennedy Blvd, Suite A, Bayonne, NJ 07002-2983
Albert O Kwon Colorectal Surgery (proctology) Sovereign Medical Group LLC 15-01 Broadway Route 4 W, Suite 1, Fairlawn, NJ 07410-6006
Andranik Howhannesian Urology Sovereign Medical Group LLC 14 -01 Broadway, Suite 3, Fair Lawn, NJ 07410-2008
Jerry Silver Otolaryngology Sovereign Medical Group LLC 15 -01 Broadway Rt 4, Fairlawn, NJ 07410-6006
Joel Abramowitz Urology Sovereign Medical Group LLC 8100 Kennedy Blvd, North Bergen, NJ 07047-4254
Richard Maggio Urology Sovereign Medical Group LLC 2071 Clove Rd J, Staten Island, NY 10304-1612
Scott A Goler Podiatry Sovereign Medical Group LLC 265 E 33rd St, Paterson, NJ 07504-1668
Morteza Shahamat Internal Medicine Sovereign Medical Group LLC 400 Franklin Tpke, Suite 104, Mahwah, NJ 07430-3517

Office Location

Street Address 23-00 ROUTE 208
SUITE 2 1
City FAIR LAWN
State NJ
Zip 07410-1558

Physicians in the same location

Name Specialty Organization Address
Frank E Colabella Podiatry 23-00 Route 208, Fair Lawn, NJ 07410-1559
Vincent Taffuri Chiropractic 23-00 Route 208, Suite 2 6, Fair Lawn, NJ 07410-1558
Richard C Balch Physical Therapy Orthopedic Care Physical Therapy Center 23-00 Route 208, Fair Lawn, NJ 07410
Paul N Wiener Physical Therapy 23-00 Route 208, Fair Lawn, NJ 07410-1559
Rachel Trotter Physical Therapy Orthopedic Care Physical Therapy Center 23-00 Route 208, Fair Lawn, NJ 07410
Pamela Joyce Ritzler Physical Therapy Orthopedic Care Physical Therapy Center 23-00 Route 208, Fair Lawn, NJ 07410
John S Pantazopoulos Cardiovascular Disease (cardiology) 23-00 Route 208, Suite 2 3, Fair Lawn, NJ 07410-1558
Jay P. Heldman Dermatology 23-00 Route 208, Suite 1 2, Fair Lawn, NJ 07410-1558

Physicians in the same zip code

Name Specialty Organization Address
Igor Gefter Psychiatry 12 -71, Fair Lawn, NJ 07410-1104
Michael Sherman Chiropractic 6 -15 Morlot Ave, Fair Lawn, NJ 07410-1421
Jeanine E Graves Optometry 11 -11 River Rd, Fair Lawn, NJ 07410-1463
Tahira M Bokhari Allergy/immunology 1715 Maple Ave, Fairlawn, NJ 07410-1523
Michael D Ryan Physical Therapy Dmr Rehabilitation 17 -15 Maple Ave, Suite 200, Fair Lawn, NJ 07410-1552
Jerome I Barr Rheumatology 17 -15 Maple Ave, Suite 2, Fair Lawn, NJ 07410-1552
Daniel T Ryan Physical Therapy Dmr Rehabilitation 17 -15 Maple Ave, Suite 200, Fair Lawn, NJ 07410-1552
Diana Mattina Physical Therapy Dmr Rehabilitation 17 -15 Maple Ave, Suite 200, Fair Lawn, NJ 07410-1552
Nicholas C Trotta Ophthalmology 17 -15 Maple Ave, Suite 1, Fair Lawn, NJ 07410-1552
Muhammad A Mirza Internal Medicine 23 -08 Maple Ave, Fair Lawn, NJ 07410-1583
Find all physicians in zip 07410

Competitor

Search similar physicians

City FAIR LAWN
Zip Code 07410
Specialty PEDIATRIC MEDICINE
City + Specialty FAIR LAWN + PEDIATRIC MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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