Individual provider Active NPI

William I Kestin, M.D.

  • Ophthalmology Physician
  • Brooklyn, NY
National Provider Identifier
1144225210
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
143054 Issued in NY
Practice address
2613 E 16TH St
Brooklyn, NY 11235-3805
Phone
(718) 332-1313
Fax
(718) 332-5070
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 143054 NY Primary

Addresses

Primary practice location

2613 E 16TH St
Brooklyn, NY 11235-3805

Mailing address

2613 E 16TH St
Brooklyn, NY 11235-3805
Phone (718) 332-1313

Other identifiers 1

IdentifierTypeStateIssuer
00747475MedicaidNY

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
I20070321000010 NY Practitioner - Ophthalmology 6608979109 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Smart Medical PLLC Ophthalmology CurrentSince Nov 1, 2016 Accepting new patients
Boris Ovodenko MD PC Ophthalmology PastSince Mar 1, 1991 Accepting new patients
Ralph K. Jackson, M.D., P.C. Ophthalmology Past Accepting new patients

Locations

665 Pelham Pkwy N
Apt 102
Bronx, NY 10467
Phone (347) 324-4207

2613 E 16th St
Fl 2
Brooklyn, NY 11235
Phone (718) 265-9900

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144225210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2613 E 16TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353805",
            "telephone_number": "718-332-1313",
            "fax_number": "718-332-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2613 E 16TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353805",
            "telephone_number": "718-332-1313",
            "fax_number": "718-332-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESTIN",
        "first_name": "WILLIAM",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "143054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00747475",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.