DR. JOHN N KALLIS DMD
NPI 1821086901
Dentist - Oral and Maxillofacial Pathology in Englewood Cliffs, NJ
About Dr. John N Kallis Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN N KALLIS DMD (NPI 1821086901) is an individual oral and maxillofacial pathology provider in Englewood Cliffs, New Jersey, licensed in New Jersey (DI15472) and active in the NPI registry since October 2005. He has opted out of Medicare through March 15, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. John N Kallis Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 15, 2016 through March 15, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07632 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ENGLEWOOD CLIFFS, NJ 07632
ENGLEWOOD CLIFFS, NJ 07632
ENGLEWOOD CLIFFS, NJ 07632
ENGLEWOOD CLIFFS, NJ 07632
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 John Kallis's NPI number?
The NPI number for John Kallis is 1821086901. It was assigned to this individual provider in the NPPES registry on October 12, 2005.
Where is John Kallis located?
John Kallis practices at 617 E Palisade Ave, Englewood Cliffs, NJ 07632. The listed phone number is (201) 567-7500.
What is John Kallis's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.
Is John Kallis enrolled in Medicare?
No. John Kallis has opted out of Medicare through March 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for John Kallis was last updated on December 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.
# Dr. John N Kallis, DMD · NPI 1821086901
Oral and Maxillofacial Pathology provider in Englewood Cliffs, New Jersey. Individual provider, active in the CMS NPPES registry since October 12, 2005.
## Identity
- **NPI:** 1821086901 (Entity type: Individual)
- **Enumerated:** October 12, 2005
- **Primary specialty:** Dentist - Oral and Maxillofacial Pathology · taxonomy 1223P0106X
- **State license:** DI15472 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 617 E PALISADE AVE, Englewood Cliffs, NJ 07632-1831
- **Phone:** (201) 567-7500 · **Fax:** (201) 567-7505
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through March 15, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** December 29, 2009
- **Other identifiers:** Medicare UPIN U32802 (NJ); Medicaid 1666908 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1821086901) · Data from the CMS NPPES public registry.