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DR. QAIS KARIM M.D.
NPI 1700311917
Pediatrics in Hackensack, NJ

Active since April 25, 2017PECOS Enrolled
30 PROSPECT AVE, HACKENSACK, NJ 07601(551) 996-5362 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 5, 2025, Jun 18, 2024, Jun 15, 2020 and 1 more (4 updates tracked since 2017).

About Dr. Qais Karim M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. QAIS KARIM M.D. (NPI 1700311917) is an individual pediatrics provider in Hackensack, New Jersey, licensed in New Jersey (25MA12306500) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1700311917
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. QAIS KARIMCredential: M.D.
Location Address30 PROSPECT AVEHackensack, NJ 07601-1915
Mailing Address331 Newman Springs Rd Ste 220Red Bank, NJ 07701-5792
Phone(551) 996-5362
Sole ProprietorNo
Enumeration DateApril 25, 2017
Last NPPES UpdateFebruary 5, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2025
✔ NPI 1700311917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NJ · 25MA12306500✔ Licensed in NY · 305248
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License 305248 (NY)
30 PROSPECT AVE, Hackensack, NJ 07601
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Secondary Practice Location 1

Location 13959 BroadwayNew York, NY 10032-1559 · Phone (212) 305-8504

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Qais Karim M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Qais Karim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hackensack Meridian Health Medical Group - Specialty Care PC
38 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JESUS RAFAEL ALVAREZ-PEREZ M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2453
JENNIFER NORTHRIDGE M.D.
Pediatrics (Adolescent Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2237
ANALYSA GALLEGOS MD
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2331
DR. PAARTH RAJ D.O.
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (201) 996-2000
MRS. LAUREN ANNE CARUCCI NP-C
Nurse Practitioner (Adult Health)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000
MS. SOMDATTA GUPTA
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (973) 216-7796
ALEXANDER SHERMAN DO
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (818) 635-2802
DR. TYLER MICHAEL CHAFITZ MD, MBA
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Qais Karim's NPI number?

The NPI number for Qais Karim is 1700311917. It was assigned to this individual provider in the NPPES registry on April 25, 2017.

Where is Qais Karim located?

Qais Karim practices at 30 Prospect Ave, Hackensack, NJ 07601. The listed phone number is (551) 996-5362.

What is Qais Karim's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Qais Karim enrolled in Medicare?

Yes. Qais Karim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Qais Karim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Qais Karim reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Qais Karim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Qais Karim accept?

Health plans from Oscar Health list Qais Karim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Qais Karim was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.