MARK KAMINETZKY (MD) – Diagnostic Radiology Physician, NPI 1578094322
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,259 DIAGNOSTIC RADIOLOGY in NJ
Provider Addresses for MARK KAMINETZKY (MD)
30 S Newman St
Hackensack, NJ 076013210
Phone: (201) 488-2660
Fax: (201) 488-6784
Type: Location
584, Rutland Avenue, Teaneck Township, Bergen County, New Jersey, 07666, United States
TEANECK, NJ 076662924
Phone:
Type: Mailing
Tisch Hospital, 550, 1st Avenue, Kips Bay, Manhattan Community Board 6, Manhattan, New York County, New York, 10016, United States
NEW YORK, NY 100166402
Phone: (212) 263-5506
Type: Location
130 KINDERKAMACK RD STE 200
RIVER EDGE, NJ 076611931
Phone: (201) 488-2660
Type: Mailing
30 PROSPECT AVE RADIOLOGY DEPT
HACKENSACK, NJ 07601
Phone: (551) 996-2200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-06-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230621002724 | I | Diagnostic Radiology | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,505 | 17 | $0 |
| 71045 | X-ray of chest, 1 view | 376 | 283 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 133 | 133 | $0 |
| 71250 | Ct scan of chest without contrast | 125 | 122 | $0 |
| 71046 | X-ray of chest, 2 views | 98 | 94 | $0 |
Insurance plans in this area (ZIP 07601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | NY | |
| Diagnostic Radiology | NJ | |
| Diagnostic Radiology | NJ | |
| Diagnostic Radiology | NJ | |
| Diagnostic Radiology | NJ | |
| Diagnostic Radiology | NJ | |
| Diagnostic Radiology | NJ | |
| Diagnostic Radiology | NJ | |
| Diagnostic Radiology | NJ | |
| Diagnostic Radiology | NJ |
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