Organization Active NPI

Kenneth B Juechter MD PC

  • Ophthalmology Physician
  • Croton on Hudson, NY
National Provider Identifier
1366576365
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
104465 Issued in NY
Legal business name
KENNETH B JUECHTER MD PC
Doing business as
Kenneth B Juechter MD PC
Practice address
20 Watch Hill Rd
Croton on Hudson, NY 10520-1018
Phone
(914) 739-4222
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Authorized official

Name
Dr. Kenneth B Juechter, MD
Title
President
Phone
(914) 739-4222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 104465 NY Primary

Addresses

Primary practice location

20 Watch Hill Rd
Croton on Hudson, NY 10520-1018

Mailing address

20 Watch Hill Rd
Croton on Hudson, NY 10520-1018
Phone (914) 739-4222

Other identifiers 1

IdentifierTypeStateIssuer
00181622MedicaidNY

Other names 1

  • Kenneth B Juechter MD PC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1366576365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WATCH HILL RD",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105201018",
            "telephone_number": "914-739-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WATCH HILL RD",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105201018",
            "telephone_number": "914-739-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH B JUECHTER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "JUECHTER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-739-4222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "104465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00181622",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenneth B Juechter MD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Croton on Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.