Individual provider Active NPI

Bob Kam, MD

  • Anesthesiology Physician
  • New York, NY
National Provider Identifier
1144227976
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
225713 Issued in NY
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

Updated by the provider on Jun 4, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0000469MedicaidNJ

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
I20061014000042 NY Practitioner - Anesthesiology 0446246722 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Newtown Gastroenterology PCGroup PAC ID 4587044375, 12 clinicians

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

LicenseStateTypeSpecialty
MA75669NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Manhattan Endoscopy Center LLC CurrentSince Jul 22, 2012 Accepting new patients
MK Anesthesia Services PLLC Anesthesiology CurrentSince Dec 12, 2023 Accepting new patients
Newtown Gastroenterology PC CurrentSince Dec 24, 2023 Accepting new patients
Agi Medical PLLC Specialist CurrentSince Aug 1, 2022 Accepting new patients
MPG Medical Services, PLLC Specialist PastSince Nov 7, 2011 Accepting new patients
Faith Hope Love Medical Care PC Anesthesiology Past Accepting new patients
KKB Medical, P.C. Anesthesiology PastSince Jan 22, 2008 Accepting new patients
Peiying Medical PC PastSince Aug 26, 2018 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.

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

Verify at the official NPI Registry.