Individual provider Active NPI

Andrew Steven Knecht, DO, MPH

  • Public Health & General Preventive Medicine Physician
  • Mineola, NY
National Provider Identifier
1609215672
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
292341 Issued in NY
Practice address
200 County Seat Dr
Mineola, NY 11501-4807
Phone
(516) 227-9697
NPI assigned
Jun 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 292341 NY
General Practice Physician 208D00000X 2014-01962 NC
Public Health & General Preventive Medicine Physician 2083P0901X 292341 NY Primary

Addresses

Primary practice location

200 County Seat Dr
Mineola, NY 11501-4807

Mailing address

200 County Seat Dr
Mineola, NY 11501-4807
Phone (516) 227-9697

Other practice location 1

147 Beach Rd
Westhampton Beach, NY 11978-1733
Phone (631) 288-7746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
292341NYMDNeuromusculoskeletal Medicine & OMM Physician
2014-01962NCMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1371859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1609215672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 COUNTY SEAT DR",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014807",
            "telephone_number": "516-227-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COUNTY SEAT DR",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014807",
            "telephone_number": "516-227-9697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "147 Beach Rd",
            "address_purpose": "LOCATION",
            "city": "Westhampton Beach",
            "state": "NY",
            "postal_code": "119781733",
            "country_code": "US",
            "telephone_number": "631-288-7746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNECHT",
        "first_name": "ANDREW",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DO, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-22",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "292341",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "2014-01962",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NY",
            "license": "292341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.