Steven Jay Kanengiser, MD

Primary specialty

Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X

License

MA061137 Issued in NJ

Practice address

505 Goffle Road
Ridgewood, NJ 07450

Phone

(201) 447-8026

Fax

(201) 251-3333

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316032998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 GOFFLE ROAD",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "07450",
            "telephone_number": "201-447-8026",
            "fax_number": "201-251-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 GOFFLE ROAD",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "07450",
            "telephone_number": "201-447-8026",
            "fax_number": "201-251-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANENGISER",
        "first_name": "STEVEN",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "NJ",
            "license": "MA061137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6266304",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hirshel Kahn, MD
• John A. Kakolewski, MS,ED.S
• Amita Kalia-Sharma, M.D
• Katherine A Kandravy, LCSW
• Robin Deborah Kanen, PSY.D.
• Paula Lynn Kaplan, CADC
• Karen Ann Karosy, M.ED, ATC
• Anna Kataryniak, RPH
• Elizabeth B Kates
• Kathleen McNulty (Analytic Psychotherapy Associates)

• Pediatric Pulmonology Physician in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Pediatric Pulmonology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.