Active NPI
Kiran Kamdar, MD
- Psychiatry Physician
- Amityville, NY
National Provider Identifier
1467412965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 161255
- Practice address
- 400 Sunrise Hwy
Amityville, NY 11701-2508 - Phone
- (631) 608-5204
- Fax
- (634) 608-4112
- NPI assigned
- Mar 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 161255 | NY | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 161255 | NY |
Addresses
Primary practice location
400 Sunrise Hwy
Amityville, NY 11701-2508
Mailing address
400 Sunrise Hwy
Amityville, NY 11701-2508
Phone (631) 608-5204
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 161255 | NY | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Long Island Home | Current | Accepting new patients | |
| The Long Island Home | Current | Accepting new patients | |
| New Horizon Counseling Center Inc | Current | Accepting new patients |
Locations
400 Sunrise Hwy
Amityville, NY 11701
Phone (631) 264-4000
445 Oak St
Copiague, NY 11726
Phone (631) 257-5173
10819 Rockaway Blvd
South Ozone Park, NY 11420
Phone (718) 327-7202
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- South Ozone Park, NY
- NPI 1366430563
-
- Psychiatric Hospital
- Amityville, NY
- NPI 1821394016
-
- Psychiatric Hospital
- Amityville, NY
- NPI 1568459204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210118400000",
"number": "1467412965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 SUNRISE HWY",
"city": "AMITYVILLE",
"state": "NY",
"postal_code": "117012508",
"telephone_number": "631-608-5204",
"fax_number": "634-608-4112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 SUNRISE HWY",
"city": "AMITYVILLE",
"state": "NY",
"postal_code": "117012508",
"telephone_number": "631-608-5204",
"fax_number": "634-608-4112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMDAR",
"first_name": "KIRAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-27",
"last_updated": "2008-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "161255",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "161255",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amityville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.