Active NPI
Steven G Kuchta, M.D.
- Diagnostic Radiology Physician
- Smithtown, NY
National Provider Identifier
1114988656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 135412-2
- Practice address
- 987 W Jericho Tpke
Smithtown, NY 11787-3203 - Phone
- (631) 864-9100
- Fax
- (631) 864-2143
- NPI assigned
- Mar 31, 2006
- Last updated
- Mar 31, 2015
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | 135412-2 | NY | |
| Nuclear Radiology Physician | 2085N0904X | 135412-2 | NY | |
| Diagnostic Radiology Physician | 2085R0202X | 135412-2 | NY | Primary |
| Diagnostic Ultrasound Physician | 2085U0001X | 135412-2 | NY |
Addresses
Primary practice location
987 W Jericho Tpke
Smithtown, NY 11787-3203
Mailing address
987 W Jericho Tpke
Smithtown, NY 11787-3203
Phone (631) 864-9100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 976391 | Other | NY | BCBS |
| 00709811 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 135412-2 | NY | MD | Nuclear Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427760000000",
"number": "1114988656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "987 W JERICHO TPKE",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117873203",
"telephone_number": "631-864-9100",
"fax_number": "631-864-2143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "987 W JERICHO TPKE",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117873203",
"telephone_number": "631-864-9100",
"fax_number": "631-864-2143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUCHTA",
"first_name": "STEVEN",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2015-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "NY",
"license": "135412-2",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "NY",
"license": "135412-2",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "135412-2",
"primary": true
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "NY",
"license": "135412-2",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "976391",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00709811",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.