Keith Seidenberg, MD LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA05916500 Issued in NJ

Legal business name

KEITH SEIDENBERG, MD LLC

Practice address

600 Godwin Ave
Midland Park, NJ 07432-1468

Phone

(201) 447-9101

Fax

(201) 447-9103

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Keith B Seidenberg, MDNPI 1588623631

Title

Physician

Phone

(201) 447-9101

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith B Seidenberg, M.D.

  • Ophthalmology Physician
  • Midland Park, NJ
  • NPI 1588623631
  Medicare reassignment Care Compare group NPD Authorized official
• Nari Kim

  • Optometrist
  • Brooklyn, NY
  • NPI 1639642788

  NJ

  Medicare reassignment Care Compare group NPD
• Janet Marie Helms, OD

  • Optometrist
  • Paramus, NJ
  • NPI 1245372788
  Medicare reassignment NPD
• Coreen Murphy, O.D.

  • Optometrist
  • Whippany, NJ
  • NPI 1861574931
  Medicare reassignment NPD
• Hyein Kim, OD

  • Optometrist
  • Cliffside Park, NJ
  • NPI 1225802044
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1336231968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GODWIN AVE",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321468",
            "telephone_number": "201-447-9101",
            "fax_number": "201-447-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GODWIN AVE",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321468",
            "telephone_number": "201-447-9101",
            "fax_number": "201-447-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH SEIDENBERG, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "SEIDENBERG",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "201-447-9101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA05916500",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika D Kao, LCSW
• Kathleen McNulty PHD, LLC
• Harry Katz, MD
• Alexis Kawalec, OTR/L
• Michelle Kearney, LCSW
• Dylan Kelczewski, SLP
• Michelle Kelly, CCC-SLP
• Nancy A Kelly, OTR
• KH Therapy
• Chiyon Kim

• Ophthalmology Physician in Midland Park, NJ
• Providers in Midland Park, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.