Active NPI
Scott Kerstetter, D.O.
- Family Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 207407
- Practice address
- 215 E 95TH St
2ND FL
New York, NY 10128-4077 - Phone
- (212) 996-8000
- Fax
- (212) 423-3127
- NPI assigned
- Feb 27, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 207407 | NY | Primary |
Addresses
Primary practice location
215 E 95TH St
2ND FL
New York, NY 10128-4077
Mailing address
55 Water St
Credentialing 12TH FL
New York, NY 10041-0004
Phone (646) 680-2888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01862986 | 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
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
701 N Broadway
Sleepy Hollow, NY 10591-1020
Phone (914) 366-3000
Hospital & facility affiliations
- Americare Certified Special Services, Inc Chha
- North Shore Home Care Chha
- Archcare at Home
- Phelps Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Family Medicine | Current | Accepting new patients |
| Executive Medical Services PC | Past | Accepting new patients |
Locations
11 Ashford Ave
Fl 2
Dobbs Ferry, NY 10522
Phone (914) 269-1990
300 Community Dr
Plandome, NY 11030
777 N Broadway
Ste 305
Sleepy Hollow, NY 10591
Phone (914) 366-6120
362 N Broadway
Ste 2
Sleepy Hollow, NY 10591
Phone (914) 631-2070
701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140
972 Brush Hollow Rd
Fl 2
Westbury, NY 11590
Phone (718) 335-0628
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- skerstetter65467@northwell.direct-ci.com
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.
-
- Corporate Health Clinic/Center
- New York, NY
- NPI 1639492515
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brooklyn, NY
- NPI 1770513145
-
- Home Health Agency
- Manhasset, NY
- NPI 1417965278
-
- Home Health Agency
- Westbury, NY
- NPI 1861464471
-
- General Acute Care Hospital
- Sleepy Hollow, NY
- NPI 1720185267
-
- Home Health Agency
- Valhalla, NY
- NPI 1821184839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486080000000",
"number": "1093842122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 WATER ST",
"address_2": "CREDENTIALING 12TH FL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100410004",
"telephone_number": "646-680-2888",
"fax_number": "516-542-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 E 95TH ST",
"address_2": "2ND FL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101284077",
"telephone_number": "212-996-8000",
"fax_number": "212-423-3127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERSTETTER",
"first_name": "SCOTT",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2017-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "207407",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01862986",
"state": "NY"
}
],
"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 Feb 3, 2017; 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.