Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Benjamin Kashan, MD

Individual provider Surgery Physician · NPI 1063767903

Dr. Benjamin Kashan, MD is a General Surgery in Passaic, New Jersey. Qualified in 2012, 14 years ago. Practices with St Marys General Medical Group PC, a 74-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
14
Licensed in
NJ
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

350 Blvd
Passaic, NJ 07055-2840
Phone: (973) 877-5080
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 25MA10961000 (NJ)

Record details

NPI number1063767903
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 17, 2012
Last updated in NPPESJune 24, 2021
Certification dateJune 24, 2021
Mailing addressPo Box 51020, Newark, NJ 07101-5120

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice St Marys General Medical Group Pc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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