Edward William Kolk, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N004109 Issued in NY

Practice address

39 New Hampshire Ave
Bay Shore, NY 11706-2507

Phone

(631) 273-4699

Fax

(631) 273-4699

NPI assigned

Dec 19, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kenneth Kalman PC

  • Chiropractor
  • Islip, NY
  • NPI 1326341264
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1497819247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 NEW HAMPSHIRE AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117062507",
            "telephone_number": "631-273-4699",
            "fax_number": "631-273-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 NEW HAMPSHIRE AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117062507",
            "telephone_number": "631-273-4699",
            "fax_number": "631-273-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLK",
        "first_name": "EDWARD",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004109",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "309257",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margarete Grace Knudsen, MD
• Danielle Knuppel, NP
• Nancy R Ko, RPAC
• Julia Rose Koebert, PA-C
• Karissa Lynn Koerner
• Lawrence Kopsick, D.O.
• Robert S Korn, MD
• Allison Marie Kornahrens, PMHNP
• John H Kraft, D.C
• Barry Kramer, M.D.

• Podiatrist in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.