Individual provider Active NPI

Keith Alan Kuenzler, M.D.

  • Pediatric Surgery Physician
  • New York, NY
National Provider Identifier
1558477141
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
231860 Issued in NY
Practice address
530 1St Ave
Suite 10W
New York, NY 10016-6402
Phone
(212) 263-7391
Fax
(212) 263-6590
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X 231860 NY Primary

Addresses

Primary practice location

530 1St Ave
Suite 10W
New York, NY 10016-6402

Mailing address

530 1St Ave
Suite 10W
New York, NY 10016-6402
Phone (212) 263-7391

Other identifiers 1

IdentifierTypeStateIssuer
02797822MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kkuenzler22001@nyumc.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120322000430 NJ Practitioner - Pediatric Medicine 6507026952 Reassigns benefits to 2 organizations
I20120521000301 NY Practitioner - General SurgeryPractitioner - Pediatric Medicine 6507026952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Pediatric Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

530 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

560 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

Merit-based Incentive Payment System (MIPS)

Final score
88.44 of 100Reported as group
Quality
72.96
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince May 1, 2012 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Feb 7, 2012 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Feb 7, 2012 Accepting new patients
New York University CurrentSince May 1, 2012 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC CurrentSince Jan 1, 2023 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
NYU Langone Hospitals Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

30 Prospect Ave
Rm 311
Hackensack, NJ 07601
Phone (551) 996-2921

516 Lawrie St
Ste 1
Perth Amboy, NJ 08861

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

530 1st Ave
Ste 10W
New York, NY 10016
Phone (212) 263-7391

530 1st Ave
Ste 10N
New York, NY 10016
Phone (212) 263-5858

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: keith.kuenzler@direct.hackensackmeridian.org
  • Direct secure messaging: kkuenzler22001@nyumc.direct-ci.com
  • Direct secure messaging: kkuenzler677982@nychhc.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1558477141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 1ST AVE",
            "address_2": "SUITE 10W",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "212-263-7391",
            "fax_number": "212-263-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 1ST AVE",
            "address_2": "SUITE 10W",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "212-263-7391",
            "fax_number": "212-263-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUENZLER",
        "first_name": "KEITH",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "NY",
            "license": "231860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02797822",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkuenzler22001@nyumc.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "530 1st Ave",
            "address_2": "Suite 10W",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100166402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.