Ken Kristofer Pino

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

694477 Issued in NY

Practice address

600 E 125TH St
New York, NY 10035-6000

Phone

(646) 672-5800

NPI assigned

Dec 27, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1477192177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 BERGEN AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212438",
            "telephone_number": "201-742-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E 125TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100356000",
            "telephone_number": "646-672-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINO",
        "first_name": "KEN KRISTOFER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-27",
        "last_updated": "2023-11-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "694477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kenk.pino@omh.ny.gov",
            "affiliation": "Y",
            "endpointDescription": "KFPC work email",
            "address_1": "600 E 125th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100356000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rebecca Pinnelas
• Sean Pinney, MD
• Johanna Pino Grisales, M.S. CCC-SLP, TSSLD
• Bobbi Lou Pino-Y-Torres, NP
• Chloe Zeldner Pino, NP
• Kristina Pino, LCSW
• Lisa Pino, SLP
• Martin Pino, PSY.D.
• Raul Luis Pino, PA-C
• Yailin Pino, PA-C

• Adult Psychiatric/Mental Health Registered Nurse in New York, NY
• Providers in New York, NY by specialty
• Adult Psychiatric/Mental Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.