Kenneth Ewing, MD

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

109869 Issued in NY

Legal business name

KENNETH EWING, MD

Practice address

458 Main St
Port Washington, NY 11050-3123

Phone

(516) 883-7677

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Donna Humphreys

Title

Office Manager

Phone

(516) 883-7677

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.

• Irene Audrey Schulman, MD

  • Diagnostic Radiology Physician
  • Flushing, NY
  • NPI 1447293865
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205052610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 MAIN ST",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 MAIN ST",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503123",
            "telephone_number": "516-883-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH EWING, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUMPHREYS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "516-883-7677"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "109869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Kavanagh, OTR
• Marna K Keane, OTR
• Irina Kellerman-Volk, D.D.S.
• Jacqueline Bellacosa Kello, RN
• Brian Neil Kelly, RPH
• Doron Keren, DDS
• Kirsten Kerrigan
• Paul Kim, PHARMD
• Laura Kimeldorf, M.D.
• Joann Kinneary, P.T.

• Medical Specialty Clinic/Center in Port Washington, NY
• Providers in Port Washington, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.