Organization Active NPI

John E Kehoe, MD PC

  • Surgical Oncology Physician
  • Brooklyn, NY
National Provider Identifier
1528207073
Registry record updated Feb 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
Legal business name
JOHN E KEHOE, MD PC
Practice address
9201 4TH Ave FL 6
Brooklyn, NY 11209-7006
Phone
(718) 921-3800
Fax
(718) 921-1168
NPI assigned
Feb 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2009

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

Authorized official

Name
Dr. John E Kehoe, MD, MD
Title
Ceo
Phone
(718) 921-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086X0206X Primary

Addresses

Primary practice location

9201 4TH Ave FL 6
Brooklyn, NY 11209-7006

Mailing address

200 E 94TH St
Suite 1816
New York, NY 10128-3903
Phone (718) 921-3800

Other identifiers 4

IdentifierTypeStateIssuer
230000738OtherNYRAILROAD MEDICARE
149401-NYOtherNY1199
029443OtherNYAETNA
100093575001OtherNYAMERICHOICE BY UNITED HEALTHCARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090310000024 NY Part B Supplier - Clinic/Group Practice 8224194659 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

9201 4th Ave
Fl 6
Brooklyn, NY 11209
Phone (718) 759-9600

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233878400000",
    "number": "1528207073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 94TH ST",
            "address_2": "SUITE 1816",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283903",
            "telephone_number": "718-921-3800",
            "fax_number": "718-921-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 4TH AVE FL 6",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097006",
            "telephone_number": "718-921-3800",
            "fax_number": "718-921-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E KEHOE, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-06",
        "last_updated": "2009-02-06",
        "status": "A",
        "authorized_official_last_name": "KEHOE, MD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-921-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "230000738",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1199",
            "identifier": "149401-NY",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "029443",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE BY UNITED HEALTHCARE",
            "identifier": "100093575001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; 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.