Charles Knirsch, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

174364 Issued in NY

Practice address

401 N Middletown Rd
Pearl River, NY 10965-1298

Phone

(845) 602-3293

NPI assigned

Jan 18, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1453075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453075200000",
    "number": "1134586480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N MIDDLETOWN RD",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109651298",
            "telephone_number": "845-602-3293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N MIDDLETOWN RD",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109651298",
            "telephone_number": "845-602-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIRSCH",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-18",
        "last_updated": "2016-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "174364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Jiyoung Kim, DDS
• Kinga Pieta LCSW PLLC
• Jeffrey Alan Klein, D.M.D
• Rachael Klein
• Aviva Klugmann, AUD
• Tracy Lee Kobelt-Danosky, NYSDISPENSER
• Chunn L. Kong
• Mark Andrew Koval, PHARMD
• Haley Lamond
• Susan Langone, ATR

• Internal Medicine Physician in Pearl River, NY
• Providers in Pearl River, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; 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.