NPIMap

Organization Active NPI

Charles P Kimmelman MD Facs PC

  • Sleep Medicine (Otolaryngology) Physician
  • New York, NY
National Provider Identifier
1386811479
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Otolaryngology) PhysicianTaxonomy code 207YS0012X
Legal business name
CHARLES P KIMMELMAN MD FACS PC
Practice address
993 Park Ave
Ste C
New York, NY 10028-0809
Phone
(212) 717-7262
Fax
(212) 717-1307
NPI assigned
May 8, 2008
Last updated
Nov 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Authorized official

Name
Dr. Charles Paul Kimmelman, MDNPI 1114087459
Title
President
Phone
(212) 717-7262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Otolaryngology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YS0012X Primary

Addresses

Primary practice location

993 Park Ave
Ste C
New York, NY 10028-0809

Mailing address

993 Park Ave
Ste C
New York, NY 10028-0809
Phone (212) 717-7262

Other names 1

  • CHARLES P KIMMELMAN MD FACS PC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1386811479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993 PARK AVE",
            "address_2": "STE C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280809",
            "telephone_number": "212-717-7262",
            "fax_number": "212-717-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 PARK AVE",
            "address_2": "STE C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280809",
            "telephone_number": "212-717-7262",
            "fax_number": "212-717-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES P KIMMELMAN MD FACS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "KIMMELMAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-717-7262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHARLES P KIMMELMAN MD FACS PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Nov 4, 2008; 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.