Individual provider Active NPI

Kenneth Newman, MD

  • Anesthesiology Physician
  • Port Jervis, NY
National Provider Identifier
1609868355
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
196313 Issued in NY
Practice address
160 East Main Street
Anesthesia Dept
Port Jervis, NY 12771-2253
Phone
(845) 357-5775
Fax
(845) 357-5777
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 196313 NY Primary

Addresses

Primary practice location

160 East Main Street
Anesthesia Dept
Port Jervis, NY 12771-2253

Mailing address

40 Delano Dr
Rhinebeck, NY 12572

Other identifiers 1

IdentifierTypeStateIssuer
01762596MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100818000969 NY Practitioner - Anesthesiology 9133253750 Reassigns benefits to 1 organization
I20220106002302 NJ Practitioner - Anesthesiology 9133253750

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Icahn School of Medicine at Mount Sinai, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ramapo Anesthesiologists, PCGroup PAC ID 3476444373, 78 clinicians

Practice addresses (Care Compare)

160 E Main St
Port Jervis, NY 12771-2253
Phone (845) 357-5775

Hospital & facility affiliations

  • Garnet Health Medical Center Catskills Hospital, Harris, NY, CCN 330386
  • Bon Secours Community Hospital Hospital, Port Jervis, NY, CCN 330135
  • Good Samaritan Hospital of Suffern Hospital, Suffern, NY, CCN 330158
  • St Anthony Community Hospital Hospital, Warwick, NY, CCN 330205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ramapo Anesthesiologists, PC Anesthesiology CurrentSince Sep 4, 2018 Accepting new patients
Gastrointestinal Care of Long Island PLLC PastSince Mar 10, 2025 Accepting new patients
Cross River Anesthesiologist Services, PC Anesthesiology Past Accepting new patients

Locations

396 Broadway
Kingston, NY 12401
Phone (845) 331-3131

42084 State Highway 28
Margaretville, NY 12455
Phone (845) 334-2819

68 Harris Bushville Rd
Monticello, NY 12701
Phone (845) 897-6053

873 Route 45
Ste 104
New City, NY 10956
Phone (845) 362-1081

500 New Hempstead Rd
Ste A
New City, NY 10956
Phone (845) 362-3200

974 Route 45
Ste 2000
Pomona, NY 10970
Phone (845) 354-3700

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

233 Lafayette Ave
Ste LL5
Suffern, NY 10901
Phone (914) 794-7741

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

233 Lafayette Ave
Ste 204
Suffern, NY 10901

100 Route 59
Ste 111
Suffern, NY 10901
Phone (845) 369-9701

15 Maple Ave
Warwick, NY 10990
Phone (845) 986-2224

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1609868355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 DELANO DR",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "12572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 EAST MAIN STREET",
            "address_2": "ANESTHESIA DEPT",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127712253",
            "telephone_number": "845-357-5775",
            "fax_number": "845-357-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "196313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01762596",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jervis, NY

Sources for this page

Verify at the official NPI Registry.