Active NPI
Kenneth R Ketay, DMD
- Dentist
- New York, NY
National Provider Identifier
1023097110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 29908
- Practice address
- 509 Madison Ave
Ste 1704
New York, NY 10022 - Phone
- (212) 688-3255
- Fax
- (212) 758-9132
- NPI assigned
- Jan 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 29908 | NY | Primary |
Addresses
Primary practice location
509 Madison Ave
Ste 1704
New York, NY 10022
Mailing address
509 Madison Ave
Ste 1704
New York, NY 10022
Phone (212) 688-3255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29908 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Ketay & Schaap | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- New York, NY
- NPI 1366421349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1023097110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 MADISON AVE",
"address_2": "STE 1704",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10022",
"telephone_number": "212-688-3255",
"fax_number": "212-758-9132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 MADISON AVE",
"address_2": "STE 1704",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10022",
"telephone_number": "212-688-3255",
"fax_number": "212-758-9132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KETAY",
"first_name": "KENNETH",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "29908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.