Individual provider Active NPI

Jason S Kendler, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1578650651
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
197102 Issued in NY
Practice address
310 E 72ND St
New York, NY 10021-4726
Phone
(212) 249-3440
Fax
(212) 570-1786
NPI assigned
Oct 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 197102 NY Primary
Infectious Disease Physician 207RI0200X 197102 NY

Addresses

Primary practice location

310 E 72ND St
New York, NY 10021-4726

Mailing address

310 E 72ND St
New York, NY 10021-4726
Phone (212) 249-3440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2013 through Jan 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
197102NYMDInfectious Disease Physician

Interoperability endpoints

  • Direct secure messaging: jak2007@direct.nyp.org

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276041600000",
    "number": "1578650651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E 72ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214726",
            "telephone_number": "212-249-3440",
            "fax_number": "212-570-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E 72ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214726",
            "telephone_number": "212-249-3440",
            "fax_number": "212-570-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDLER",
        "first_name": "JASON",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-09",
        "last_updated": "2010-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "197102",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "197102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.