Individual provider Active NPI

Eric S Knochenhauer, MD

  • Reproductive Endocrinology Physician
  • Staten Island, NY
National Provider Identifier
1295749430
Registry record updated Mar 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
187839 Issued in NY
Practice address
237 Richmond Valley Rd
Staten Island, NY 10309-2622
Phone
(718) 948-6100
Fax
(718) 948-6114
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X 187839 NY Primary

Addresses

Primary practice location

237 Richmond Valley Rd
Staten Island, NY 10309-2622

Mailing address

237 Richmond Valley Rd
Staten Island, NY 10309-2622
Phone (718) 948-6100

Other identifiers 1

IdentifierTypeStateIssuer
02139540MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20060417000265 NY Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 8921017187 Reassigns benefits to 1 organization
I20130205000068 NJ Practitioner - Obstetrics/Gynecology 8921017187 Reassigns benefits to 1 organization

National Provider Directory

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

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: eknochenhauer65789@northwell.direct-ci.com

Organizations & group practices 1

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1295749430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 RICHMOND VALLEY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092622",
            "telephone_number": "718-948-6100",
            "fax_number": "718-948-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 RICHMOND VALLEY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092622",
            "telephone_number": "718-948-6100",
            "fax_number": "718-948-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOCHENHAUER",
        "first_name": "ERIC",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NY",
            "license": "187839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02139540",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.