Organization Active NPI

Howard a Kiernan MD PC

  • Specialist
  • New York, NY
National Provider Identifier
1255682795
Registry record updated Jul 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
099298 Issued in NY
Legal business name
HOWARD A KIERNAN MD PC
Practice address
903 Park Ave FL 1
New York, NY 10075-0362
Phone
(212) 602-1800
Fax
(212) 535-4796
NPI assigned
Sep 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2017

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

Authorized official

Name
Dr. Howard A Kiernan, MD PCNPI 1043318819
Title
Owner
Phone
(212) 602-1800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 099298 NY Primary

Addresses

Primary practice location

903 Park Ave FL 1
New York, NY 10075-0362

Mailing address

903 Park Ave FL 1
New York, NY 10075-0362
Phone (212) 602-1800

Other names 1

  • Howard A Kiernan MD PC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170815002846 NY Part B Supplier - Clinic/Group Practice 3274805957 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

903 Park Ave
Fl 1
New York, NY 10075
Phone (212) 249-8535

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501113600000",
    "number": "1255682795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 PARK AVE FL 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750362",
            "telephone_number": "212-602-1800",
            "fax_number": "212-535-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 PARK AVE FL 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750362",
            "telephone_number": "212-602-1800",
            "fax_number": "212-535-4796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD A KIERNAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-24",
        "last_updated": "2017-07-27",
        "status": "A",
        "authorized_official_last_name": "KIERNAN",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-602-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "099298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Howard A Kiernan MD PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.