Active NPI
Brian David Kwitkin, M.D.
- Surgery Physician
- East Setauket, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 274170
- Practice address
- 100 N Belle Mead Rd
Suite D
East Setauket, NY 11733-3530 - Phone
- (631) 207-2807
- Fax
- (631) 207-5077
- NPI assigned
- May 13, 2008
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 274170 | NY | Primary |
Addresses
Primary practice location
100 N Belle Mead Rd
Suite D
East Setauket, NY 11733-3530
Mailing address
100 N Belle Mead Rd
Suite D
East Setauket, NY 11733-3530
Phone (631) 207-2807
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Monadnock Community Hospital
Practice addresses (Care Compare)
452 Old St Rd
Peterborough, NH 03458-1263
Phone (603) 924-7191
Hospital & facility affiliations
- Monadnock Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Group, Inc | Current | Accepting new patients | |
| Covenant Medical Group, Inc. | Surgery | Current | Accepting new patients |
| Monadnock Community Hospital | Surgery | Current | Accepting new patients |
| Monadnock Community Hospital | Current | Accepting new patients | |
| Monadnock Orthopaedic Associates | Current | Accepting new patients |
Locations
454 Old Street Rd
Ste 201
Peterborough, NH 03458
Phone (603) 924-4646
452 Old Street Rd
Peterborough, NH 03458
Phone (603) 924-4699
454 Old Street Rd
Ste 107
Peterborough, NH 03458
Phone (603) 924-2600
100 Lantana Rd
Ste 202
Crossville, TN 38555
Phone (931) 484-5141
Dept 888179
Knoxville, TN 37995
111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554
Interoperability endpoints
- brian.kwitkin@mhp.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Critical Access Hospital
- Peterborough, NH
- NPI 1457304149
-
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
- NPI 1871269415
-
- Orthopaedic Surgery Physician
- Peterborough, NH
- NPI 1316214646
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Peterborough, NH
- NPI 1457304149
-
- Critical Access Hospital
- Peterborough, NH
- NPI 1881676104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409788800000",
"number": "1386811941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N BELLE MEAD RD",
"address_2": "SUITE D",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117333530",
"telephone_number": "631-207-2807",
"fax_number": "631-207-5077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N BELLE MEAD RD",
"address_2": "SUITE D",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117333530",
"telephone_number": "631-207-2807",
"fax_number": "631-207-5077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWITKIN",
"first_name": "BRIAN",
"middle_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-13",
"last_updated": "2014-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "274170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Setauket, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.