Active NPI
Bob Kam, MD
- Anesthesiology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 225713
- Practice address
- 117 E 57TH St
36 B
New York, NY 10022-2002 - Phone
- (212) 751-4651
- Fax
- (212) 751-4651
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA75669 | NJ | |
| Anesthesiology Physician | 207L00000X | 225713 | NY | Primary |
Addresses
Primary practice location
117 E 57TH St
36 B
New York, NY 10022-2002
Mailing address
117 E 57TH St
36 B
New York, NY 10022-2002
Phone (212) 751-4651
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000469 | Medicaid | NJ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1998
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
761 55TH St
FL 2
Brooklyn, NY 11220-3210
Phone (646) 609-6138
8710 51St Ave
Elmhurst, NY 11373-3908
Phone (646) 609-6138
8710 51St Ave
Apt 1R
Elmhurst, NY 11373-3910
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA75669 | NJ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manhattan Endoscopy Center LLC | Current | Accepting new patients | |
| MK Anesthesia Services PLLC | Anesthesiology | Current | Accepting new patients |
| Newtown Gastroenterology PC | Current | Accepting new patients | |
| Agi Medical PLLC | Specialist | Current | Accepting new patients |
| MPG Medical Services, PLLC | Specialist | Past | Accepting new patients |
| Faith Hope Love Medical Care PC | Anesthesiology | Past | Accepting new patients |
| KKB Medical, P.C. | Anesthesiology | Past | Accepting new patients |
| Peiying Medical PC | Past | Accepting new patients |
Locations
749 61st St
Brooklyn, NY 11220
Phone (201) 767-4040
3808 Union St
Flushing, NY 11354
Phone (718) 362-6298
3808 Union St
Ste 13A
Flushing, NY 11354
Phone (718) 362-6298
3712 Prince St
Ste 5D
Flushing, NY 11354
Phone (718) 368-6180
86 Bowery
Fl 7
New York, NY 10013
Phone (201) 767-4040
535 5th Ave
Fl 5
New York, NY 10017
Phone (212) 682-2828
535 E 5th Ave
New York, NY 10017
Phone (212) 628-8282
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gastroenterology Physician
- Elmhurst, NY
- NPI 1134868045
-
- Specialist
- Brooklyn, NY
- NPI 1730322645
-
- Ambulatory Surgical Clinic/Center
- New York, NY
- NPI 1124324181
-
- Anesthesiology Physician
- Brooklyn, NY
- NPI 1922751254
-
- Anesthesiology Physician
- Flushing, NY
- NPI 1396131272
-
- Anesthesiology Physician
- Flushing, NY
- NPI 1568859221
-
- Anesthesiology Physician
- New York, NY
- NPI 1659559888
-
- Specialist
- New York, NY
- NPI 1831487115
-
- Anatomic Pathology & Clinical Pathology Physician
- Brooklyn, NY
- NPI 1154802239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433376000000",
"number": "1144227976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 E 57TH ST",
"address_2": "36 B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100222002",
"telephone_number": "212-751-4651",
"fax_number": "212-751-4651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 E 57TH ST",
"address_2": "36 B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100222002",
"telephone_number": "212-751-4651",
"fax_number": "212-751-4651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAM",
"first_name": "BOB",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2015-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "MA75669",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "225713",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000469",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.