Individual provider Active NPI

Daniel J Kenigsberg, MD

  • Reproductive Endocrinology Physician
  • Melville, NY
National Provider Identifier
1215027636
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
158152 Issued in NY
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

Updated by the provider on Jan 11, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
158152NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.