Individual provider Active NPI

Kenneth Strobel, P.A.

  • Physician Assistant
  • Great Neck, NY
National Provider Identifier
1508992421
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
006769 Issued in NY
Practice address
833 Northern Blvd Ste 160
Great Neck, NY 11021-5322
Phone
(516) 498-8400
Fax
(516) 498-8404
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 006769 NY Primary

Addresses

Primary practice location

833 Northern Blvd Ste 160
Great Neck, NY 11021-5322

Mailing address

833 Northern Blvd Ste 160
Great Neck, NY 11021-5322
Phone (516) 498-8400

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110204000906 NY Practitioner - Physician Assistant 2466632690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aesthetic Plastic Surgery PCGroup PAC ID 7012924939, 10 clinicians

Practice addresses (Care Compare)

833 Northern Blvd
Suite 160
Great Neck, NY 11021-5322
Phone (516) 498-8400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aesthetic Plastic Surgery PC CurrentSince Dec 5, 2025 Accepting new patients
St Francis Hospital United States Catholic Conference Past Accepting new patients
New York Cardiovascular Anesthesiologists, P.C. PastSince Dec 5, 2025 Accepting new patients

Locations

833 Northern Blvd
Great Neck, NY 11021
Phone (516) 288-3400

833 Northern Blvd
Ste 160
Great Neck, NY 11021
Phone (516) 498-8400

Interoperability endpoints

  • Direct secure messaging: kstrobel308096@nyumc.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1508992421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 NORTHERN BLVD STE 160",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215322",
            "telephone_number": "516-498-8400",
            "fax_number": "516-498-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 NORTHERN BLVD STE 160",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215322",
            "telephone_number": "516-498-8400",
            "fax_number": "516-498-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROBEL",
        "first_name": "KENNETH",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "006769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.