Individual provider Active NPI

Herbert Robert Kwasnik, MD

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
National Provider Identifier
1346360575
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
120851 Issued in NY
Practice address
121 Dekalb Ave
Depart of Rehabilitation Medicine 2ND Floor
Brooklyn, NY 11201-5425
Phone
(718) 250-8142
Fax
(718) 250-8257
NPI assigned
Mar 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 120851 NY Primary

Addresses

Primary practice location

121 Dekalb Ave
Depart of Rehabilitation Medicine 2ND Floor
Brooklyn, NY 11201-5425

Mailing address

130 West 86TH St
3A
New York, NY 10024-4066
Phone (212) 595-6207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110405000978 NY Practitioner - Physical Medicine and Rehabilitation 5496939167 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
120851NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Herbert Kwasnik, M.D. P.C. Physical Medicine & Rehabilitation CurrentSince Apr 5, 2011 Accepting new patients

Locations

121 DeKalb Ave
Fl 2
Brooklyn, NY 11201
Phone (718) 250-6915

121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346360575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 WEST 86TH ST",
            "address_2": "3A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100244066",
            "telephone_number": "212-595-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 DEKALB AVE",
            "address_2": "DEPART OF REHABILITATION MEDICINE 2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015425",
            "telephone_number": "718-250-8142",
            "fax_number": "718-250-8257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWASNIK",
        "first_name": "HERBERT",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "120851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.