NPIMap

Individual provider Active NPI

Kenneth Noah Giedd, MD

  • Cardiovascular Disease Physician
  • New York, NY
National Provider Identifier
1124099734
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
183525 Issued in NY
Practice address
332 E 14TH St
New York, NY 10003-4243
Phone
(212) 481-3333
NPI assigned
Jan 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X 183525 NY
Cardiovascular Disease Physician 207RC0000X 183525 NY Primary

Addresses

Primary practice location

332 E 14TH St
New York, NY 10003-4243

Mailing address

455 E 51St St # 2C
New York, NY 10022-6474
Phone (212) 969-9284

Other identifiers 1

IdentifierTypeStateIssuer
01450577MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040413001765 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4486648250 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Jun 1, 2017 Accepting new patients
14 Street Medical, PC CurrentSince Jul 1, 2020 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Jun 1, 2017 Accepting new patients
Trustees of Columbia University Adult Ekg Group Cardiovascular Disease Past Accepting new patients
East Manhattan Diagnostic Imaging, P.C. Past Accepting new patients
Trustees of Columbia University in the City of New York Past Accepting new patients
SLR Diagnostic Radiology, P.C. Past Accepting new patients
Beth Israel Medical Center Past Accepting new patients
West Side Radiology Associates, PC Past Accepting new patients
Trustees of Columbia University in the City of New York Past Accepting new patients
Inner Imaging, PC Past Accepting new patients
East Manhattan Diagnostic Imaging, PC Past Accepting new patients

Locations

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13555/brand/1/csg/1/fhir/r4
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 12

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1124099734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 E 51ST ST # 2C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100226474",
            "telephone_number": "212-969-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 E 14TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034243",
            "telephone_number": "212-481-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIEDD",
        "first_name": "KENNETH",
        "middle_name": "NOAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "NY",
            "license": "183525",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "183525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01450577",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.