Active NPI
Steven P Kallet, M.D.
- Urology Physician
- New York, NY
National Provider Identifier
1316966807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 115942
- Practice address
- 100 E 77TH St
4TH Floor, East Building
New York, NY 10075-1850 - Phone
- (212) 434-3620
- Fax
- (212) 434-3799
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 115942 | NY | Primary |
Addresses
Primary practice location
100 E 77TH St
4TH Floor, East Building
New York, NY 10075-1850
Mailing address
100 E 77TH St
4TH Floor, East Building
New York, NY 10075-1850
Phone (212) 434-3620
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133451387 | Other | UNITED HEALTHCARE | |
| 133451387 | Other | EMPIRE PLAN | |
| 2964005 | Other | AETNA HMO | |
| 4097529 | Other | AETNA PPO | |
| 2C2113 | Other | HEALTHNET | |
| NS518 | Other | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115942 | NY | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Akhtar Ali, MD PC | Past | Accepting new patients | |
| St Vincents Hospital and Medical Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Ozone Park, NY
- NPI 1528227865
-
- Specialist
- New York, NY
- NPI 1285746354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373414400000",
"number": "1316966807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E 77TH ST",
"address_2": "4TH FLOOR, EAST BUILDING",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100751850",
"telephone_number": "212-434-3620",
"fax_number": "212-434-3799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E 77TH ST",
"address_2": "4TH FLOOR, EAST BUILDING",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100751850",
"telephone_number": "212-434-3620",
"fax_number": "212-434-3799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALLET",
"first_name": "STEVEN",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2013-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "115942",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "133451387",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE PLAN",
"identifier": "133451387",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2964005",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4097529",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2C2113",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "NS518",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.