Kenneth Skodnek, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

104630 Issued in NY

Practice address

2201 Hempstead Tpke
Medical Staff Office Box 42
East Meadow, NY 11554-1859

Phone

(516) 572-6511

Fax

(516) 572-3210

NPI assigned

Mar 1, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1609843473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 HEMPSTEAD TPKE",
            "address_2": "MEDICAL STAFF OFFICE BOX 42",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541859",
            "telephone_number": "516-572-6511",
            "fax_number": "516-572-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 HEMPSTEAD TPKE",
            "address_2": "MEDICAL STAFF OFFICE BOX 42",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541859",
            "telephone_number": "516-572-6511",
            "fax_number": "516-572-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKODNEK",
        "first_name": "KENNETH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "104630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00512827",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaswinder Pal Singh, MD
• Neha Singh
• Vinny Singh
• Atul Kumar Sinha, MD
• Michelle Sison, PT
• Agata Slatch
• Richard C Slater, DC
• Dawn Marie Smalley, M.S. ED.
• Carroll Rudolph Smith III, M.D.
• Eric M Smith

• Psychiatry Physician in East Meadow, NY
• Providers in East Meadow, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.