Individual provider Active NPI

Jonathan M Kamen, D.D.S.

  • Endodontics
  • Scarsdale, NY
National Provider Identifier
1467527572
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
029633 Issued in NY
Practice address
45 Walworth Ave
Scarsdale, NY 10583-1431
Phone
(914) 262-1398
Fax
(212) 677-1907
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 029633 NY Primary

Addresses

Primary practice location

45 Walworth Ave
Scarsdale, NY 10583-1431

Mailing address

45 Walworth Ave
Scarsdale, NY 10583-1431
Phone (914) 262-1398

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160609000281 NY Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 9032409743

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: jkamen133770@nyumc.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1467527572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 WALWORTH AVE",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831431",
            "telephone_number": "914-262-1398",
            "fax_number": "914-725-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 WALWORTH AVE",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831431",
            "telephone_number": "914-262-1398",
            "fax_number": "212-677-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMEN",
        "first_name": "JONATHAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "029633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

Verify at the official NPI Registry.