Active NPI
Kenneth Newman, MD
- Anesthesiology Physician
- Port Jervis, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 196313
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01762596 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Bon Secours Community Hospital
- Good Samaritan Hospital of Suffern
- St Anthony Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ramapo Anesthesiologists, PC | Anesthesiology | Current | Accepting new patients |
| Gastrointestinal Care of Long Island PLLC | Past | 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.
-
- Anesthesiology Physician
- Suffern, NY
- NPI 1235151002
-
- Anesthesiology Physician
- Rhinebeck, NY
- NPI 1578519955
-
- Gastroenterology Physician
- Massapequa, NY
- NPI 1265571863
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Jervis, NY
- NPI 1659360709
-
- Rural Acute Care Hospital
- Harris, NY
- NPI 1710977012
-
- General Acute Care Hospital
- Suffern, NY
- NPI 1346213469
-
- General Acute Care Hospital
- Warwick, NY
- NPI 1598755324
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.