Ka Bock MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

150111-1 Issued in NY

Legal business name

KA BOCK MD PLLC

Practice address

50 Old Farm Rd
Red Hook, NY 12571-1633

Phone

(845) 758-0001

Fax

(845) 758-0022

NPI assigned

Apr 30, 2012

Last updated

Nov 2, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth A Bock, M.D.NPI 1275572513

Title

Owner

Phone

(845) 158-0001

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Alan Bock, M.D.

  • Family Medicine Physician
  • Red Hook, NY
  • NPI 1275572513
  Authorized official Same address or phone

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1164780987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 OLD FARM RD",
            "city": "RED HOOK",
            "state": "NY",
            "postal_code": "125711633",
            "telephone_number": "845-758-0001",
            "fax_number": "845-758-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 OLD FARM RD",
            "city": "RED HOOK",
            "state": "NY",
            "postal_code": "125711633",
            "telephone_number": "845-758-0001",
            "fax_number": "845-758-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KA BOCK MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "BOCK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-158-0001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "150111-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul M Hutchins, DC
• Integrative Therapy for Children and Adolescents
• Sheetal Jain, MD
• Jamie Glass, N.P., Psychiatry, PLLC
• Sarah E Jamison, LMSW
• Hannah E Kastanos, FNP-BC
• Cybele Elizabeth Kehr
• Patricia Kiggins
• Christopher Landry
• Jennifer Lansky, LMHC

• Family Medicine Physician in Red Hook, NY
• Providers in Red Hook, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; 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.