Individual provider Active NPI

William Lee Kutcher, M.D.

  • Pulmonary Disease Physician
  • New Hyde Park, NY
National Provider Identifier
1487765889
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
146129 Issued in NY
Practice address
444 Lakeville Rd
Suite 304
New Hyde Park, NY 11042-1165
Phone
(516) 352-3300
Fax
(516) 352-3390
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 146129 NY Primary

Addresses

Primary practice location

444 Lakeville Rd
Suite 304
New Hyde Park, NY 11042-1165

Mailing address

444 Lakeville Rd
Suite 304
New Hyde Park, NY 11042-1165
Phone (516) 352-3300

Other identifiers 1

IdentifierTypeStateIssuer
01050646MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100603000010 NY Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 7214066117 Practice locations: New Hyde Park, NY

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
State University of New York Downstate Medical Center, 1978
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4 Ohio Dr
Suite 200
New Hyde Park, NY 11042-1144
Phone (516) 352-3300

Hospital & facility affiliations

  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487765889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 LAKEVILLE RD",
            "address_2": "SUITE 304",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421165",
            "telephone_number": "516-352-3300",
            "fax_number": "516-352-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 LAKEVILLE RD",
            "address_2": "SUITE 304",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421165",
            "telephone_number": "516-352-3300",
            "fax_number": "516-352-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTCHER",
        "first_name": "WILLIAM",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "146129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01050646",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.