Active NPI
Alisa Kammerman MD PC
- Physical Medicine & Rehabilitation Physician
- Woodmere, NY
National Provider Identifier
1013728583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- ALISA KAMMERMAN MD PC
- Practice address
- 547 Barnard Ave
Woodmere, NY 11598-2707 - Phone
- (917) 412-7611
- NPI assigned
- Jan 15, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alisa Kammerman, MD
- Title
- Owner
- Phone
- (917) 412-7611
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
547 Barnard Ave
Woodmere, NY 11598-2707
Mailing address
547 Barnard Ave
Woodmere, NY 11598-2707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250224002529 | NY | Part B Supplier - Clinic/Group Practice | 8729508510 |
Receives reassigned benefits from 2 practitioners Practice locations: Valley Stream, NY; Woodmere, NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Woodmere, NY
- NPI 1659303865
NY, Physical Medicine & Rehabilitation
-
- Physical Medicine & Rehabilitation Physician
- Valley Stream, NY
- NPI 1891722765
NY, Physical Medicine & Rehabilitation
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736899200000",
"number": "1013728583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "547 BARNARD AVE",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115982707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "547 BARNARD AVE",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115982707",
"telephone_number": "917-412-7611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALISA KAMMERMAN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-15",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A",
"authorized_official_last_name": "KAMMERMAN",
"authorized_official_first_name": "ALISA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-412-7611",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodmere, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.