Active NPI
Jon David Kirwin, M.D.
- Vascular Surgery Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 160062
- Practice address
- 86 E 49TH St
Katz Building
Brooklyn, NY 11203-1901 - Phone
- (718) 288-1875
- Fax
- (212) 321-6101
- NPI assigned
- Mar 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 160062 | NY | Primary |
Addresses
Primary practice location
86 E 49TH St
Katz Building
Brooklyn, NY 11203-1901
Mailing address
PO Box 3383
Church Street Station
New York, NY 10008-3383
Phone (718) 288-1875
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01557735 | Medicaid | NY |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356
450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 270-1422
Hospital & facility affiliations
- Suny/Downstate University Hospital of Brooklyn
- South Brooklyn Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospital of Brooklyn Suny Downstate Health Sciences Univers | Current | Accepting new patients | |
| Physician Affiliate Group of New York PC | Current | Accepting new patients | |
| University Physicians of Brooklyn, Inc. | Vascular Surgery | Current | Accepting new patients |
| Coney Island Medical Practice Plan, P.C. | Current | Accepting new patients | |
| University Physicians of Brooklyn, Inc. | Current | Accepting new patients | |
| University Hospital of Brooklyn Suny Downstate Health Sciences Univers | Current | Accepting new patients | |
| University Physicians of Brooklyn, Inc | Past | Accepting new patients |
Locations
450 Clarkson Ave
#86
Brooklyn, NY 11203
Phone (718) 270-1396
450 Clarkson Ave
#80
Brooklyn, NY 11203
Phone (718) 613-8481
450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603
445 Lenox Rd
Brooklyn, NY 11203
Phone (718) 245-4790
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
470 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 421-1003
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- jkirwin145942@nychhc.direct-ci.com
- jonkirwin@sunydmc.allscriptsdirect.net
- jon.kirwin.1@438.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
- Surgery Physician
- Brooklyn, NY
- NPI 1538116082
Vascular Surgery
-
- General Practice Physician
- Brooklyn, NY
- NPI 1386951762
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1396318986
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Brooklyn, NY
- NPI 1528027414
-
- Child & Adolescent Psychiatry Physician
- Brooklyn, NY
- NPI 1689715476
-
- Anesthesiology Physician
- Brooklyn, NY
- NPI 1104878180
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1124032982
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1639179328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204761600000",
"number": "1093783078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3383",
"address_2": "CHURCH STREET STATION",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100083383",
"telephone_number": "718-288-1875",
"fax_number": "212-321-6101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86 E 49TH ST",
"address_2": "KATZ BUILDING",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112031901",
"telephone_number": "718-288-1875",
"fax_number": "212-321-6101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRWIN",
"first_name": "JON",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2008-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NY",
"license": "160062",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01557735",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.