Kip L Bodi Physician Facs PLLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

144782 Issued in NY

Legal business name

KIP L BODI PHYSICIAN FACS PLLC

Practice address

775 Park Ave
Suite 262
Huntington, NY 11743-3976

Phone

(631) 271-1608

Fax

(631) 271-1968

NPI assigned

Aug 7, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kip L Bodi, M.D.,F.A.C.S.

Title

President

Phone

(631) 271-1608

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249603200000",
    "number": "1033340013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 PARK AVE",
            "address_2": "SUITE 262",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433976",
            "telephone_number": "631-271-1608",
            "fax_number": "631-271-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 PARK AVE",
            "address_2": "SUITE 262",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433976",
            "telephone_number": "631-271-1608",
            "fax_number": "631-271-1968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIP L BODI PHYSICIAN FACS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-07",
        "last_updated": "2009-08-07",
        "status": "A",
        "authorized_official_last_name": "BODI",
        "authorized_official_first_name": "KIP",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-271-1608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,F.A.C.S."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NY",
            "license": "144782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Min Sung Kim, M.S. L.AC
• Tara Kimball-Tucker
• King Kullen Pharmacies Corp
• Ashley King, LCSW
• Krista King, PT,DPT
• Barbara Rosa Kirwin, PH.D.
• Alan Michael Kisner, M.D.
• Morton Kissen, PH.D
• Karen Klein-Lankeaux, LCSW
• Joshua B Klein, MD

• Urology Physician in Huntington, NY
• Providers in Huntington, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.