Active NPI
Richmond Hill Physician DO PC
- Adult Medicine Physician
- South Richmond Hill, NY
National Provider Identifier
1306017843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- Legal business name
- RICHMOND HILL PHYSICIAN DO PC
- Practice address
- 10152 Lefferts Blvd
South Richmond Hill, NY 11419-2006 - Phone
- (718) 849-0404
- NPI assigned
- Mar 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kathleen G. Kohut, D.O.
- Title
- President
- Phone
- (718) 849-0404
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | Primary | ||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Diagnostic Radiology Physician | 2085R0202X |
Addresses
Primary practice location
10152 Lefferts Blvd
South Richmond Hill, NY 11419-2006
Mailing address
PO Box 152
Glen Head, NY 11545-0152
Phone (718) 849-0404
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Patchogue, NY
- NPI 1003905688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633392000000",
"number": "1306017843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 152",
"city": "GLEN HEAD",
"state": "NY",
"postal_code": "115450152",
"telephone_number": "718-849-0404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10152 LEFFERTS BLVD",
"city": "SOUTH RICHMOND HILL",
"state": "NY",
"postal_code": "114192006",
"telephone_number": "718-849-0404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHMOND HILL PHYSICIAN DO PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-12",
"last_updated": "2021-10-05",
"certification_date": "2021-10-05",
"status": "A",
"authorized_official_last_name": "KOHUT",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-849-0404",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Richmond Hill, NY
- Asi Ressler, O.D.
- Wendy T. Reyes, FNP-C
- Richmond Hill Adult Day Care Center Inc
- Richmond Hill Dental Group, PLLC (Lefferts Braces)
- Richmond Hill Medical Services,P.C.
- Richmond RX Inc (Liberty Chemists)
- Richmond RX Pharmacy Inc
- Risa Pharmacy Inc (Garden RX Pharmacy)
- Rise and Shine Transportation Inc.
- Patricio Romero, PSY D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.