Individual provider Active NPI

Niki E. Kantrowitz, M.D.

  • Cardiovascular Disease Physician
  • Kingston, NY
National Provider Identifier
1285695031
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
51403 Issued in KY
Practice address
111 Marys Ave Ste 3
Kingston, NY 12401-5896
Phone
(845) 339-3663
NPI assigned
Mar 31, 2006
Last updated
Dec 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 51403 KY Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X MD193221 OR

Addresses

Primary practice location

111 Marys Ave Ste 3
Kingston, NY 12401-5896

Mailing address

111 Marys Ave Ste 3
Kingston, NY 12401-5896
Phone (845) 339-3663

Other practice location 1

1006 Ford Ave
Owensboro, KY 42301-4677
Phone (270) 417-7500

Other practice location 2

1000 Breckenridge St Ste 101
Owensboro, KY 42303-0840
Phone (270) 417-7500

Other practice location 3

510 Ruby Dr
Madisonville, KY 42431-2168
Phone (270) 399-7900

Other practice location 4

1200 Barrett Blvd
Henderson, KY 42420-4950
Phone (270) 844-8600

Other practice location 5

2200 E Parrish Ave Bldg D
Owensboro, KY 42303-1458
Phone (270) 417-7500

Other practice location 6

1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
Phone (270) 417-7500

Other practice location 7

2025 W Everly Brothers Blvd
Powderly, KY 42367-5401
Phone (270) 377-2600

Other identifiers 3

IdentifierTypeStateIssuer
300015505MedicaidIN
7100543970MedicaidKY
00972972MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Niki.Kantrowitz@wmchealth.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WI, PA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040906000006 NY Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 0840266466 Reassigns benefits to 4 organizations
Practice locations: Brooklyn, NY
I20181027000205 WI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 0840266466 Reassigns benefits to 1 organization
I20191113000476 PA Practitioner - Cardiovascular Disease (Cardiology) 0840266466 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology), Interventional Cardiology
Education
Wayne State University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Joseph's Medical Practice PCGroup PAC ID 5597901868, 28 clinicians

Practice addresses (Care Compare)

127 S Broadway
Yonkers, NY 10701-4006
Phone (914) 378-7584

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
51403KYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Imogene Bassett Hospital CurrentSince Dec 16, 2019 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Wellspan Medical Group CurrentSince Dec 1, 2019 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Dec 16, 2019 Accepting new patients
Ephrata Community Hospital CurrentSince Jan 26, 2020 Accepting new patients
Ephrata Community Hospital Cardiovascular Disease CurrentSince Jan 26, 2020 Accepting new patients
St Joseph's Medical Practice PC Cardiovascular Disease CurrentSince May 27, 2025 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc CurrentSince Apr 29, 2019 Accepting new patients
Wellspan Medical Group CurrentSince Dec 1, 2019 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince May 1, 2020 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince May 1, 2020 Accepting new patients
CMC Radiological Services PC Past Accepting new patients
Cardiology Associates at Lich Cardiovascular Disease Past Accepting new patients
Suny Health Science Center at Brooklyn Past Accepting new patients
St Vincents Catholic Medical Center Past Accepting new patients
Owensboro Health Medical Group, Inc. Cardiovascular Disease Past Accepting new patients
Lich Faculty Practice Cardiovascular Disease Past Accepting new patients

Locations

3050 Corlear Ave
Ste 201
Bronx, NY 10463
Phone (718) 543-2700

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

460 Andes Rd
Delhi, NY 13753
Phone (607) 746-0300

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

111 Marys Ave
Ste 3
Kingston, NY 12401
Phone (845) 452-7319

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

130 North St
Walton, NY 13856
Phone (607) 865-6541

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

127 S Broadway
Ste 409
Yonkers, NY 10701
Phone (914) 378-7583

530 Yonkers Ave
Yonkers, NY 10704
Phone (914) 237-7031

169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311

446 N Reading Rd
Ste 302
Ephrata, PA 17522
Phone (717) 721-5868

140 N Pointe Blvd
Lancaster, PA 17601
Phone (717) 291-0700

25 Lystra Rogers Dr
Lewisburg, PA 17837
Phone (570) 523-3290

3 Hospital Dr
Ste 100
Lewisburg, PA 17837
Phone (570) 523-7625

3 Hospital Dr
Ste 206
Lewisburg, PA 17837
Phone (570) 522-9771

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

3803 Spring St
Ste 410
Mount Pleasant, WI 53405
Phone (262) 687-8208

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJJACA
  • Direct secure messaging: niki.kantrowitz@wmchealth.cernerdirect.com
  • Direct secure messaging: nikikantrowitz@mai.allscriptsdirect.net

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1285695031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MARYS AVE STE 3",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015896",
            "telephone_number": "845-339-3663",
            "fax_number": "845-331-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MARYS AVE STE 3",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015896",
            "telephone_number": "845-339-3663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1006 Ford Ave",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423014677",
            "country_code": "US",
            "telephone_number": "270-417-7500",
            "fax_number": "270-417-7509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Breckenridge St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423030840",
            "country_code": "US",
            "telephone_number": "270-417-7500",
            "fax_number": "270-417-7509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 Ruby Dr",
            "address_purpose": "LOCATION",
            "city": "Madisonville",
            "state": "KY",
            "postal_code": "424312168",
            "country_code": "US",
            "telephone_number": "270-399-7900",
            "fax_number": "270-399-7910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Barrett Blvd",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "KY",
            "postal_code": "424204950",
            "country_code": "US",
            "telephone_number": "270-844-8600",
            "fax_number": "270-844-8610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 E Parrish Ave Bldg D",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423031458",
            "country_code": "US",
            "telephone_number": "270-417-7500",
            "fax_number": "270-417-7509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Pleasant Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423039811",
            "country_code": "US",
            "telephone_number": "270-417-7500",
            "fax_number": "270-417-7509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2025 W Everly Brothers Blvd",
            "address_purpose": "LOCATION",
            "city": "Powderly",
            "state": "KY",
            "postal_code": "423675401",
            "country_code": "US",
            "telephone_number": "270-377-2600",
            "fax_number": "270-377-2610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANTROWITZ",
        "first_name": "NIKI",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2021-12-30",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "51403",
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "OR",
            "license": "MD193221",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300015505",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100543970",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00972972",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Niki.Kantrowitz@wmchealth.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "111 Marys Ave Ste 3",
            "city": "Kingston",
            "state": "NY",
            "country_code": "US",
            "postal_code": "124015896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.