Kenneth Wemm Jr., M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

203847 Issued in NY

Practice address

159 W 53Rd St # 30FG
New York, NY 10019-6005

Phone

(212) 765-8802

NPI assigned

Sep 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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.

• Custom Anesthesia Services, P.C.

  • Anesthesiology Physician
  • Great Neck, NY
  • NPI 1861567752
  NPD (past)

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528165156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 W 53RD ST # 30FG",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196005",
            "telephone_number": "212-765-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 W 53RD ST # 30FG",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196005",
            "telephone_number": "212-765-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEMM",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "203847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kathryn Weltner, BCBA, LBA-NY
• Maria Luiza Juliet Barbosa Welton, LICSW
• Wooster Welton, PHD
• Christina Weltz, MD
• Shelby Weltz
• Wen Ao Dana Wang MD PLLC
• Wen-Chiang Pai Acupuncture PC
• Wen-Ray Thomas Hsu, MD, PC
• Alice Wen
• Angie E Wen, MD

• Anesthesiology Physician in New York, NY
• Providers in New York, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.