Fred Kimmelstiel, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

146786 Issued in NY

Practice address

225 W 71St St
New York, NY 10023-3726

Phone

(212) 362-6060

Fax

(212) 362-7751

NPI assigned

Oct 14, 2006

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164512588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W 71ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100233726",
            "telephone_number": "212-362-6060",
            "fax_number": "212-362-7751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W 71ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100233726",
            "telephone_number": "212-362-6060",
            "fax_number": "212-362-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMELSTIEL",
        "first_name": "FRED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "146786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Kimmel, LMSW
• Alec C Kimmelman, MD PHD
• Charles P Kimmelman, M.D.
• Jane Zvi Kimmelman, LCSW
• Jennifer Kimmelman, LMFT
• Jessica Kimmes, CPNP
• Kana Kimoto
• Venee Kim Kimpson, LCSW-R
• Kumi Kimura-Moretton, LMT
• Hiroshi Kimura, DMD

• Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.