Stephen Patrick Kachur, MD

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

D0042066 Issued in MD

Practice address

870 Riverside Dr Apt 5G
New York, NY 10032-5473

Phone

(404) 345-9615

NPI assigned

Jul 11, 2022

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 names 1

• S. Patrick Kachur Professional name

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": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1316671001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 RIVERSIDE DR APT 5G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100325473",
            "telephone_number": "404-345-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 RIVERSIDE DR APT 5G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100325473",
            "telephone_number": "404-345-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACHUR",
        "first_name": "STEPHEN",
        "middle_name": "PATRICK",
        "name_prefix": "Prof.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "MD",
            "license": "D0042066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "S. PATRICK",
            "last_name": "KACHUR",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sabrina Zoe Kachianos, MS
• Katherine Kachkarov, MD
• Regina Shana Kachkoff-Enk, NP
• Lisa Ann Kachnic, MD
• Bessie Kachulis, M.D.
• Kelly Nicole Kacinski, NP
• Ashutosh Kacker, MD
• Susan Kacprzak
• Elizabeth Marie Kaczka, NP
• Kurt Kaczmar, PA-C

• Public Health & General Preventive Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Public Health & General Preventive Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.