Active NPI
Keith Alan Kuenzler, M.D.
- Pediatric Surgery Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- 231860
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02797822 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kkuenzler22001@nyumc.direct-ci.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Jefferson Medical College of Thomas Jefferson University, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Complex Care PC | Current | 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
- keith.kuenzler@direct.hackensackmeridian.org
- kkuenzler22001@nyumc.direct-ci.com
- kkuenzler677982@nychhc.direct-ci.com
- 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.
-
- Internal Medicine Physician
- Red Bank, NJ
- NPI 1154379626
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- General Acute Care Hospital
- New York, NY
- NPI 1073535027
-
- General Acute Care Hospital
- New York, NY
- NPI 1801992631
-
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.