Individual provider Active NPI

Stewart M Kamen, DPM

  • Foot Surgery Podiatrist
  • Bronxville, NY
National Provider Identifier
1043239452
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N004743 Issued in NY
Practice address
77 Pondfield Rd
Bronxville, NY 10708-3809
Phone
(914) 337-6755
Fax
(914) 337-6756
NPI assigned
Jul 18, 2006
Reactivated
Jan 15, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N004743 NY Primary

Addresses

Primary practice location

77 Pondfield Rd
Bronxville, NY 10708-3809

Mailing address

77 Pondfield Rd
Bronxville, NY 10708-3809
Phone (914) 337-6755

Other identifiers 2

IdentifierTypeStateIssuer
01252006MedicaidNY
02241252MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040527000958 NY Practitioner - Podiatry 2961483615 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

77 Pondfield Rd
Suite 2
Bronxville, NY 10708-3809
Phone (914) 337-6755

Hospital & facility affiliations

  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue38
Removal of skin lesions1-10
Removal of nail tissue190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N004743NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Stewart Kamen DPM PC Foot Surgery CurrentSince Aug 1, 1981 Accepting new patients

Locations

1 Stone Pl
Bronxville, NY 10708
Phone (914) 337-3976

77 Pondfield Rd
Bronxville, NY 10708
Phone (914) 337-2102

77 Pondfield Rd
Ste 2
Bronxville, NY 10708
Phone (914) 337-6755

475 White Plains Rd
Eastchester, NY 10709
Phone (914) 961-2322

436 Fort Washington Ave
Apt 1A
New York, NY 10033
Phone (212) 923-0408

6 Xavier Dr
Ste 212
Yonkers, NY 10704
Phone (914) 965-4154

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: kamenst@direct.nyp.org

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1043239452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 PONDFIELD RD",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107083809",
            "telephone_number": "914-337-6755",
            "fax_number": "914-337-6756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 PONDFIELD RD",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107083809",
            "telephone_number": "914-337-6755",
            "fax_number": "914-337-6756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMEN",
        "first_name": "STEWART",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2013-01-09",
        "deactivation_date": "2007-12-17",
        "reactivation_date": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N004743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01252006",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02241252",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronxville, NY

Sources for this page

Verify at the official NPI Registry.