Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1215175112 Deactivated / Inactive NPI Male Practitioner

Dr. Andrew Kagan , MD

Surgery • Hackensack, NJ

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Andrew Kagan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 30, 2009
NPI Deactivation Date June 05, 2025
Total Practice Duration ~16 Years of Practice (2009 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Andrew Kagan, MD was a registered Surgery practicing in Hackensack, NJ. Throughout an active medical career spanning 16 years, Dr. Kagan provided care at the practice location at 241 MOORE ST. until profile deactivation on 2025-06-05.

Practice Location & Contact Primary Location

Practice Address

241 Moore St.
Bergen Volunteer Medical Initiative

Hackensack, NJ 076011911

Telephone 2013422478
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Hackensack, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.3 Yrs
State Avg: 26.9 Yrs
Regional Practice Density
35 Specialists

Practicing in Hackensack, NJ (815 Statewide)

Telehealth Adoption Rate
8.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NJ MA22311

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Carl Wierum , MD

Internal Medicine

NPI 1144556275

Doctor of Medicine (M.D.)

NPI 1255295572

Doctor of Pharmacy (Pharm.D.)

Kathleen Fagan , DNSC, RN, BC, APN

Nurse Practitioner - Women's Health

NPI 1386974517

DNSC, Registered Nurse, BC, Advanced Practice Nurse

Lillian Tahan

Nurse Practitioner - Adult Health

NPI 1811324247

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated June 05, 2025

Record deactivated on June 05, 2025

NPI Profile Active January 30, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location January 30, 2009

Registered at 241 MOORE ST., BERGEN VOLUNTEER MEDICAL INITIATIVE, HACKENSACK, NJ 076011911 (Tel: 2013422478)

📍
Updated Business Mailing Address January 30, 2009

Registered at 21 DUCK POND RD., DEMAREST, NJ 076272305 (Tel: 2015225870)

👤
Provider Name / Credentials Updated January 30, 2009

Recorded as ANDREW KAGAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2009

Surgery (License #MA22311 in NJ)

🟢
Initial NPI Registration & Enumeration January 30, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Andrew Kagan. Be the first to share your experience!

Sign in to leave a review for Dr. Andrew Kagan

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1215175112
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2009
Last Update: January 30, 2009
Deactivation Date: June 05, 2025

Mailing Address

21 Duck Pond Rd.

Demarest, NJ 076272305

Phone: 2015225870

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.