Active NPI
Daniel J Kenigsberg, MD
- Reproductive Endocrinology Physician
- Melville, NY
National Provider Identifier
1215027636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- 158152
- Practice address
- 8 Corporate Center Dr
Suite 101
Melville, NY 11747-3193 - Phone
- (631) 752-0606
- Fax
- (631) 752-0623
- NPI assigned
- Oct 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 158152 | NY | |
| Reproductive Endocrinology Physician | 207VE0102X | 158152 | NY | Primary |
Addresses
Primary practice location
8 Corporate Center Dr
Suite 101
Melville, NY 11747-3193
Mailing address
22 Waterville Road
Invitro Sciences, Inc
Avon, CT 06001
Phone (860) 678-3428
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 158152 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Island Fertility, PLLC | Reproductive Endocrinology | Past | Accepting new patients |
| Long Island Fertility & Endocrinology Assoc., PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulatory Fertility Facility
- Melville, NY
- NPI 1467780072
-
- Reproductive Endocrinology Physician
- Melville, NY
- NPI 1376828426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1215027636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 WATERVILLE ROAD",
"address_2": "INVITRO SCIENCES, INC",
"city": "AVON",
"state": "CT",
"postal_code": "06001",
"telephone_number": "860-678-3428",
"fax_number": "860-284-5444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 CORPORATE CENTER DR",
"address_2": "SUITE 101",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117473193",
"telephone_number": "631-752-0606",
"fax_number": "631-752-0623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENIGSBERG",
"first_name": "DANIEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-14",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "158152",
"primary": false
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "NY",
"license": "158152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.