Kenneth Emancipator, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

158575 Issued in NY

Practice address

10 Linda LN
Hampton Bays, NY 11946-2202

Phone

(631) 728-8299

NPI assigned

Jul 24, 2013

Last updated

Jul 24, 2013By the provider in NPPES

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

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1548602014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LINDA LN",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119462202",
            "telephone_number": "631-728-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 LINDA LN",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119462202",
            "telephone_number": "631-728-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMANCIPATOR",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-24",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "158575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East End Womens Health Care
• East End Womens Health Care P.C.
• Kennworth Eaton II, P.A.
• Ecb SLP Services PC
• Joelle Efthimiou, PHD
• Eileen Falcon, CASAC-T
• Samanthe Federico, RD
• Caroline Fierro, MD
• Christopher Flanagan, RN
• Sawyer Coley Flandreau, FNP

• Anatomic Pathology & Clinical Pathology Physician in Hampton Bays, NY
• Providers in Hampton Bays, NY by specialty
• Anatomic Pathology & Clinical Pathology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.