Organization Active NPI

K & H Medical PLLC

  • Vascular & Interventional Radiology Physician
  • Bethpage, NY
National Provider Identifier
1518458751
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
K & H MEDICAL PLLC
Practice address
120 Hicksville Rd
Bethpage, NY 11714-3443
Phone
(516) 717-1817
Fax
(631) 204-6446
NPI assigned
May 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Authorized official

Name
Eliezer Halpert, MDNPI 1881848687
Title
Authorized Official
Phone
(212) 734-6621

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X NY Primary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X NY

Addresses

Primary practice location

120 Hicksville Rd
Bethpage, NY 11714-3443

Mailing address

120 Hicksville Rd
Bethpage, NY 11714-3443
Phone (516) 717-1839

Other identifiers 1

IdentifierTypeStateIssuer
05385011MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181107000391 NY Part B Supplier - Clinic/Group Practice 7416201645 Receives reassigned benefits from 16 practitioners

National Provider Directory

National Provider Directory

Locations

6411 Beach Channel Dr
Ste 150
Arverne, NY 11692
Phone (718) 945-0700

46 Mount Ebo Rd N
Brewster, NY 10509
Phone (718) 792-5900

2323 Eastchester Rd
Bronx, NY 10469
Phone (718) 635-2848

16 Sumner Pl
Fl 4
Brooklyn, NY 11206
Phone (212) 235-5181

366 Veterans Memorial Hwy
Ste 3
Commack, NY 11725

336 Veterans Memorial Hwy
#3
Commack, NY 11725

336 Veterans Memorial Hwy
Commack, NY 11725

2241 New Haven Ave
Ste 110
Far Rockaway, NY 11691

7665 Austin St
Forest Hills, NY 11375
Phone (718) 333-5120

150 Old Saw Mill Riv Rd
Hawthorne, NY 10532
Phone (914) 666-4646

6175 Sunrise Hwy
Massapequa, NY 11758
Phone (516) 504-2100

400 S Service Rd
Ste 110
Melville, NY 11747

10 Claremont Ave
#1609
Mount Vernon, NY 10550
Phone (267) 330-9905

25 Willett St
New York, NY 10002
Phone (212) 602-1722

172 Meadow Hill Rd
Newburgh, NY 12550
Phone (410) 499-1437

2478 Jerusalem Ave
North Bellmore, NY 11710
Phone (516) 317-1681

537 Route 22
Purdys, NY 10578
Phone (914) 277-3691

6457 Woodhaven Blvd
Rego Park, NY 11374

800 Front St
South Hempstead, NY 11550
Phone (516) 505-4560

140 Meisner Ave
Staten Island, NY 10306
Phone (718) 979-1800

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1518458751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HICKSVILLE RD",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143443",
            "telephone_number": "516-717-1839",
            "fax_number": "631-204-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HICKSVILLE RD",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143443",
            "telephone_number": "516-717-1817",
            "fax_number": "631-204-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & H MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "HALPERT",
        "authorized_official_first_name": "ELIEZER",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "212-734-6621",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05385011",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethpage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.