Individual provider Active NPI

Kerin B Hausknecht, MD

  • Neuromusculoskeletal Medicine & OMM Physician
  • Lynbrook, NY
National Provider Identifier
1295750099
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
202181 Issued in NY
Practice address
23 Langdon PL
Lynbrook, NY 11563-2414
Phone
(516) 374-4451
Fax
(516) 674-1987
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X 202181 NY
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 202181 NY Primary

Addresses

Primary practice location

23 Langdon PL
Lynbrook, NY 11563-2414

Mailing address

PO Box 209
Hewlett, NY 11557-0209
Phone (516) 374-4451

Other practice location 1

206-20 Linden Blvd
Cambria Heights, NY 11411-1524
Phone (718) 479-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040515000387 NY Practitioner - Neurology 4587654116 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Icahn School of Medicine at Mount Sinai, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advantagecare Physicians PCGroup PAC ID 2365735008, 307 clinicians

Practice addresses (Care Compare)

20620 Linden Blvd
Cambria Heights, NY 11411-1524
Phone (718) 479-6600

242 Merrick Rd
Rockville Centre, NY 11570-5254
Phone (516) 374-8566

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202181NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC Multi-Specialty CurrentSince Feb 2, 2026 Accepting new patients
Mount Sinai School of Medicine Multi-Specialty CurrentSince Feb 18, 2022 Accepting new patients
Metropolitan Medical Practice Plan PC Multi-Specialty CurrentSince Oct 1, 2018 Accepting new patients
Advantagecare Physicians PC Multi-Specialty CurrentSince Feb 2, 2026 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Multi-Specialty CurrentSince Jun 1, 2023 Accepting new patients
Mount Sinai School of Medicine Multi-Specialty CurrentSince Feb 18, 2022 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Multi-Specialty Current Accepting new patients
Dr. David N Lifschutz, MD Neurology Past Accepting new patients
Integrated Neurological Associates, PLLC Multi-Specialty Past Accepting new patients

Locations

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

20620 Linden Blvd
Cambria Hts, NY 11411
Phone (718) 479-6600

325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700

775 Park Ave
Huntington, NY 11743
Phone (631) 396-1595

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

242 Merrick Rd
Ste 301
Rockville Ctr, NY 11570
Phone (516) 536-1455

242 Merrick Rd
Rockville Ctr, NY 11570
Phone (239) 541-9993

70 Charles Lindbergh Blvd
Ste 100
Uniondale, NY 11553
Phone (516) 483-2020

Networks

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

Interoperability endpoints

  • Direct secure messaging: khausknecht846655@nychhc.direct-ci.com
  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1295750099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 209",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115570209",
            "telephone_number": "516-374-4451",
            "fax_number": "516-374-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 LANGDON PL",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632414",
            "telephone_number": "516-374-4451",
            "fax_number": "516-674-1987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206-20 Linden Blvd",
            "address_purpose": "LOCATION",
            "city": "Cambria Heights",
            "state": "NY",
            "postal_code": "114111524",
            "country_code": "US",
            "telephone_number": "718-479-6600",
            "fax_number": "718-264-7080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAUSKNECHT",
        "first_name": "KERIN",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "202181",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "202181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

Verify at the official NPI Registry.