Individual provider Active NPI

Gregory Kinsella, M.D.

  • Anesthesiology Physician
  • New York, NY
National Provider Identifier
1104902444
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
192206 Issued in NY
Practice address
1St Avenue at 16TH St.
Beth Israel Medical Center/Petrie Division
New York, NY 10003
Phone
(212) 420-2385
NPI assigned
Oct 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 192206 NY Primary

Addresses

Primary practice location

1St Avenue at 16TH St.
Beth Israel Medical Center/Petrie Division
New York, NY 10003

Mailing address

PO Box 270
Massapequa Park, NY 11762-0270
Phone (631) 264-2035

Other identifiers 1

IdentifierTypeStateIssuer
01424506MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080715000356 NY Practitioner - Anesthesiology 1355410374 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
York Anesthesiologists, PLLCGroup PAC ID 3072404805, 10 clinicians

Practice addresses (Care Compare)

934 Manhattan Ave
Brooklyn, NY 11222-5928
Phone (718) 389-8586

York Anesthesiologists PLLC
1St Avenue at 16TH Street Beth Israel Medic
New York, NY 10003-0001
Phone (212) 420-2385

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
192206NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yorkville Endoscopy, LLC CurrentSince Jan 10, 2019 Accepting new patients
York Anesthesiologists PLLC Anesthesiology CurrentSince Jan 1, 2008 Accepting new patients
Kips Bay Endoscopy Center, LLC CurrentSince Nov 13, 2017 Accepting new patients

Locations

46 W Oak St
Amityville, NY 11701
Phone (718) 670-5631

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

535 2nd Ave
New York, NY 10016
Phone (212) 447-1609

201 E 93rd St
New York, NY 10128
Phone (917) 281-0100

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1104902444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117620270",
            "telephone_number": "631-264-2035",
            "fax_number": "631-264-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1ST AVENUE AT 16TH ST.",
            "address_2": "BETH ISRAEL MEDICAL CENTER/PETRIE DIVISION",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-420-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSELLA",
        "first_name": "GREGORY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-30",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "192206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01424506",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.