Organization Active NPI

Dennis M Kesden MD & Sherry H Kesden MD PC

  • Ophthalmology Physician
  • Massapequa, NY
National Provider Identifier
1275695223
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
DENNIS M KESDEN MD & SHERRY H KESDEN MD PC
Practice address
649 Broadway
Massapequa, NY 11758-2313
Phone
(516) 798-1411
Fax
(516) 798-0362
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Authorized official

Name
Dennis M Kesden, MDNPI 1467479907
Title
Doctor Owner
Phone
(516) 798-1411

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

649 Broadway
Massapequa, NY 11758-2313

Mailing address

649 Broadway
Massapequa, NY 11758-2313
Phone (516) 798-1411

Other identifiers 1

IdentifierTypeStateIssuer
1275695223OtherNYGROUP NPI

National Provider Directory

National Provider Directory

Locations

649 Broadway
Massapequa, NY 11758
Phone (516) 798-1411

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": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1275695223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582313",
            "telephone_number": "516-798-1411",
            "fax_number": "516-798-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582313",
            "telephone_number": "516-798-1411",
            "fax_number": "516-798-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS M KESDEN MD & SHERRY H KESDEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "KESDEN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "516-798-1411",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1275695223",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.