Dr. Kevin P. Stewart, M.D. Ophthalmology P.L.L.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

226054 Issued in NY

Legal business name

DR. KEVIN P. STEWART, M.D. OPHTHALMOLOGY P.L.L.C.

Practice address

117 E 7TH St
1E
New York, NY 10009-5743

Phone

(646) 763-2263

Fax

(212) 533-0741

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Kharis Rieve Kennedy

Title

Office Manager

Phone

(646) 763-2263

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1205975802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E 7TH ST",
            "address_2": "1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100095743",
            "telephone_number": "646-763-2263",
            "fax_number": "212-533-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E 7TH ST",
            "address_2": "1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100095743",
            "telephone_number": "646-763-2263",
            "fax_number": "212-533-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KEVIN P. STEWART, M.D. OPHTHALMOLOGY P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "KHARIS",
        "authorized_official_middle_name": "RIEVE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "646-763-2263",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "226054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02621814",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in New York, NY
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.