Esther Kissin, M.D.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

161104 Issued in NY

Practice address

20 Continental Ave
Suite 1H
Forest Hills, NY 11375-5266

Phone

(718) 575-0909

Fax

(718) 575-2224

NPI assigned

Nov 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: estherkissin@nslijmedgr.allscriptsdirect.net

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.

• North Shore-Lij Medical PC

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  Medicare reassignment NPD

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093894149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CONTINENTAL AVE",
            "address_2": "SUITE 1H",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755266",
            "telephone_number": "718-575-0909",
            "fax_number": "718-575-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CONTINENTAL AVE",
            "address_2": "SUITE 1H",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755266",
            "telephone_number": "718-575-0909",
            "fax_number": "718-575-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSIN",
        "first_name": "ESTHER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "161104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00914714",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Kim
• Young Kim, M.D.
• Danae King
• Kaitlin Kingston, DPM
• Cecelia McNally Kinnane
• KK Therapeutics OT PC
• Brian Joshua Klarman, DC
• Madison Katherine Klee
• Colleen Klein-Capote, LCSW
• Brandon Joseph Klein, DO

• Endocrinology, Diabetes & Metabolism Physician in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Endocrinology, Diabetes & Metabolism Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.