Andrew William Kirsner, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

321054 Issued in NY

Practice address

1468 Madison Ave
New York, NY 10029-6508

Phone

(332) 215-2960

NPI assigned

Apr 2, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686441600000",
    "number": "1487150256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 E 93RD ST APT 4A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280356",
            "telephone_number": "954-918-2644",
            "fax_number": "561-955-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1468 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296508",
            "telephone_number": "332-215-2960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Woods Rd Ste 1459",
            "address_purpose": "LOCATION",
            "city": "Valhalla",
            "state": "NY",
            "postal_code": "105951530",
            "country_code": "US",
            "telephone_number": "914-493-8550",
            "fax_number": "561-955-3577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Florida Atlantic University Internal Medicine Residency",
            "address_2": "800 Meadows Road",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "33486",
            "country_code": "US",
            "telephone_number": "561-955-5365",
            "fax_number": "561-955-3577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRSNER",
        "first_name": "ANDREW",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-02",
        "last_updated": "2023-06-11",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "321054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Robert Kirshbaum, PH.D.
• Marissa Kirshenbaum, LMSW
• Rachel Leah Kirshenbaum
• Sheri B Kirshenbaum, PH.D.
• Samantha Kirshon Pakter, PSY.D.
• Larry S Kirstein, MD
• Laurie Jill Kirstein, MD
• Shirley Rochelle Kirstein, P.T.
• Kirsten Cesped, PT, PLLC
• Kirsten Cullen Sharma

• Diagnostic Radiology Physician in New York, NY
• Providers in New York, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2023; 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.

Verify at the official NPI Registry.