Philip B Kossover, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X011558 Issued in NY

Practice address

333 Glen Head Rd
Suite 150
Glen Head, NY 11545-1947

Phone

(516) 281-5238

NPI assigned

Sep 15, 2008

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)

Enrolled

State licenses

Practice roles

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.

• Glen Head Medical PC

  • Internal Medicine Physician
  • Old Brookville, NY
  • NPI 1689872491
  NPD (past)

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260489600000",
    "number": "1598914673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CRESTWOOD LN",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115812405",
            "telephone_number": "516-281-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GLEN HEAD RD",
            "address_2": "SUITE 150",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115451947",
            "telephone_number": "516-281-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSSOVER",
        "first_name": "PHILIP",
        "middle_name": "B",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-15",
        "last_updated": "2009-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Kirsch, MSW
• Aryn N Kleiner, M.S.
• Shaila Klepner, M.A., CCCSLP
• Erin Knight, MA CCC-SLP
• Alexandra Konidaris
• Diana Rosa Kraupner, P.T
• William Robert Kraupner, MPT
• Nika Kritikos, M.S., CCC-SLP
• Margarita M Kugler, LMSW
• Nancy Patricia Kurtz, M.S, L.C.S.W.

• Chiropractor in Glen Head, NY
• Providers in Glen Head, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; 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.