Doctor K Private Medicine PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

DOCTOR K PRIVATE MEDICINE PLLC

Practice address

426 W 14TH St FL 3
New York, NY 10014-1002

Phone

(646) 568-6636

NPI assigned

Sep 18, 2025

Last updated

Sep 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Russo Kibert, MDNPI 1770960270

Title

Founder/Owner

Phone

(713) 628-6126

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew Russo Kibert, M.D.

  • General Practice Physician
  • New York, NY
  • NPI 1770960270
  NPD Authorized official

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

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1598637738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 W 14TH ST FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100141002",
            "telephone_number": "646-568-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 W 14TH ST FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100141002",
            "telephone_number": "646-568-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR K PRIVATE MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "KIBERT",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "RUSSO",
        "authorized_official_title_or_position": "FOUNDER/OWNER",
        "authorized_official_telephone_number": "713-628-6126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Docpanel de LLC
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• Docs Physicians Affiliated With Bimc
• Doctor Administration Services, LLC
• Doctor Chan Medical Practice, PC
• Dane Michael Doctor, M.D.
• Emily Louise Doctor, DNP, FNP-BC
• Lianne Doctor
• Michael Benjamin Doctor, M.D.
• Tahera Murtaza Doctor, MD

• General Practice Physician in New York, NY
• Providers in New York, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.