BSD MEDICAL PRACTICE II LLC
NPI 1902606833
Internal Medicine in Union, NJ

Active since March 18, 2025CLIA 31D2336314 · Waiver
1620 VAUXHALL RD STE 100-11, UNION, NJ 07083(908) 882-2025(718) 387-6429 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 16, 2025, Mar 18, 2025 (2 updates tracked since 2025).

About Bsd Medical Practice Ii Llc NPPES

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

BSD MEDICAL PRACTICE II LLC (NPI 1902606833) is a healthcare organization registered as an internal medicine in Union, New Jersey and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through December 29, 2027 and lists Anthony Michael Kane, Md/ceo, as its authorized official.

NPPES Registry Identity

NPI1902606833
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBSD MEDICAL PRACTICE II LLC
Location Address1620 VAUXHALL RD STE 100-11Union, NJ 07083-3409
Mailing Address1620 Vauxhall Rd Ste 100-11Union, NJ 07083-3409 · (908) 882-2025 · Fax (718) 387-6429
Fax(718) 387-6429
Organization SubpartNo
Authorized OfficialAnthony Michael KaneMd/ceo · (845) 202-9787
Enumeration DateMarch 18, 2025
Last NPPES UpdateSeptember 16, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1902606833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X
1620 VAUXHALL RD STE 100-11, Union, NJ 07083

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bsd Medical Practice Ii Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Bsd Medical Practice II LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Nurse Practitioner
NPI 1518829977
1620 VAUXHALL RD STE 100-11
Union, NJ 07083
(908) 882-2025
✔ PECOSSame address
Internal Medicine
NPI 1609261544
99 BEAUVOIR AVE
Summit, NJ 07901
(908) 522-2000
✔ PECOS✔ Accepts Medicare5.6 mi
Internal Medicine
NPI 1689695538
166 MORRIS AVE
Long Branch, NJ 07740
(732) 229-2020
✔ PECOS✔ Accepts Medicare31 mi
Internal Medicine
NPI 1780094003
1945 STATE ROUTE 33
Neptune, NJ 07753
(732) 776-4483
✔ PECOS✔ Accepts Medicare36 mi
Clinical Social Worker
NPI 1558538694
49 COUNTRY CLUB LN
Marlton, NJ 08053
(856) 906-9899
✔ PECOS✔ Accepts Medicare68 mi
Hospitalist
NPI 1699396275
1 COOPER PLZ
Camden, NJ 08103
(856) 342-3150
✔ PECOS✔ Accepts Medicare69 mi
Family Practice
NPI 1952821993
1613 ROUTE 47 S UNIT F
Rio Grande, NJ 08242
(609) 886-5245
✔ PECOS✔ Accepts Medicare121 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2336314

Bsd Medical Practice II LLC · Union, NJ
Active · expires Dec 29, 2027
CLIA Number31D2336314
Laboratory TypePhysician Office
Certificate Effective DateDecember 30, 2025
Certificate Expiration DateDecember 29, 2027
Laboratory DirectorAnthony Kane
Laboratory Phone(908) 882-2025
Laboratory LocationBsd Medical Practice II LLC1620 Vauxhall Rd Ste 100-11, Union, NJ 07083
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Bsd Medical Practice II LLC's NPI number?

The NPI number for Bsd Medical Practice II LLC is 1902606833. It was assigned to this organization in the NPPES registry on March 18, 2025.

Where is Bsd Medical Practice II LLC located?

Bsd Medical Practice II LLC is located at 1620 Vauxhall Rd Ste 100-11, Union, NJ 07083. The listed phone number is (908) 882-2025.

What is Bsd Medical Practice II LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Bsd Medical Practice II LLC enrolled in Medicare?

Yes. Bsd Medical Practice II LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bsd Medical Practice II LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 5 Medicare specialties reassign their Medicare billing to Bsd Medical Practice II LLC. A 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 the clinician's services. The largest specialties are Internal Medicine (3), Clinical Social Worker (1) and Family Practice (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bsd Medical Practice II LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2336314) is associated with this NPI, valid through December 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bsd Medical Practice II LLC was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.