Arden M Kaisman MD PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

164652-1 Issued in NY

Legal business name

ARDEN M KAISMAN MD PC

Practice address

3 Boyle Road
Selden, NY 11784

Phone

(631) 736-4064

Fax

(631) 736-1332

NPI assigned

Jul 6, 2006

Last updated

Sep 10, 2013By 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

Ms. Nikki Silva

Title

Credentialing Specialist

Phone

(631) 736-4064

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1609807775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BOYLE ROAD",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "11784",
            "telephone_number": "631-736-4064",
            "fax_number": "631-736-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BOYLE ROAD",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "11784",
            "telephone_number": "631-736-4064",
            "fax_number": "631-736-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDEN M KAISMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "631-736-4064",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "164652-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Selden, NY
• Providers in Selden, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.