Kim John Kaiser

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

37 Cardinal Rd
East Lyme, CT 06333-1045

Phone

(860) 691-3033

Fax

(860) 691-3006

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• New England Mobility Inc.

  • Durable Medical Equipment & Medical Supplies
  • East Lyme, CT
  • NPI 1134304264
  NPD (past) Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1114005683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 CARDINAL RD",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331045",
            "telephone_number": "860-691-3033",
            "fax_number": "860-691-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 CARDINAL RD",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331045",
            "telephone_number": "860-691-3033",
            "fax_number": "860-691-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAISER",
        "first_name": "KIM",
        "middle_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "CT",
            "license": "06-1357833",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004101953",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Healy
• Elizabeth Henry
• Hong Qi Acupuncture and Wellness Center
• Inside Out Wellness LLC
• Mary Jeanbyk, LCSW
• Archana Karanki, DMD
• Kathleen Corcoran Karlberg, PT
• Daniel W Kerzner, D.C.
• Prakash Keshary
• Ryeed Ali Khan

• All providers in East Lyme, CT
• Durable Medical Equipment & Medical Supplies in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.