Active NPI
John E Kehoe, MD PC
- Surgical Oncology Physician
- Brooklyn, NY
National Provider Identifier
1528207073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Oncology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 230000738 | Other | NY | RAILROAD MEDICARE |
| 149401-NY | Other | NY | 1199 |
| 029443 | Other | NY | AETNA |
| 100093575001 | Other | NY | AMERICHOICE BY UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Specialist
- Brooklyn, NY
- NPI 1437235165
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.