NPIMap

Individual provider Active NPI

Kym M. Carpentieri, D.O.

  • Family Medicine Physician
  • Bellport, NY
National Provider Identifier
1649229055
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
223141 Issued in NY
Practice address
16 Station Rd
Suite 5-6
Bellport, NY 11713-2449
Phone
(631) 286-3995
Fax
(631) 286-4573
NPI assigned
May 10, 2006
Last updated
Oct 15, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 223141 NY Primary

Addresses

Primary practice location

16 Station Rd
Suite 5-6
Bellport, NY 11713-2449

Mailing address

16 Station Rd
Suite 5-6
Bellport, NY 11713-2449
Phone (631) 286-3995

Other identifiers 2

IdentifierTypeStateIssuer
1649229055OtherNYNPI NUMBER
1992738538OtherNYNPI GROUP NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040610000813 NY Practitioner - Family Practice 9032192091 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

285 Sills Rd
East Patchogue, NY 11772-4869
Phone (631) 475-2858

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223141NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Nov 1, 2025 Accepting new patients
Internal Medicine Associates, PC CurrentSince Nov 1, 2020 Accepting new patients
New York University CurrentSince Nov 1, 2025 Accepting new patients
Internal Medicine Associates, PC CurrentSince Nov 1, 2020 Accepting new patients
Nyumc Radiology Associates Past Accepting new patients

Locations

16 Station Rd
Bellport, NY 11713
Phone (631) 286-3995

16 Station Rd
Ste 56
Bellport, NY 11713
Phone (631) 286-3995

700 Hicksville Rd
Ste 205
Bethpage, NY 11714
Phone (646) 501-3325

100 Hospital Rd
East Patchogue, NY 11772
Phone (631) 475-6900

100 Hospital Rd
Ste 203
East Patchogue, NY 11772
Phone (631) 475-6900

100 Hospital Rd
Ste 217
East Patchogue, NY 11772

240 Patchogue Yaphank Rd
Ste 205
East Patchogue, NY 11772
Phone (631) 289-7474

25710 Union Tpke
Glen Oaks, NY 11004
Phone (718) 343-7200

5499 Route 347
Mount Sinai, NY 11766
Phone (631) 331-3910

21422 73rd Ave
Oakland Gdns, NY 11364
Phone (718) 347-3500

243 Boyle Rd
Selden, NY 11784
Phone (631) 320-1247

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: kcarpentieri504494@nyumc.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1649229055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 STATION RD",
            "address_2": "SUITE 5-6",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117132449",
            "telephone_number": "631-286-3995",
            "fax_number": "631-286-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 STATION RD",
            "address_2": "SUITE 5-6",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117132449",
            "telephone_number": "631-286-3995",
            "fax_number": "631-286-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTIERI",
        "first_name": "KYM",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "223141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1649229055",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP NUMBER",
            "identifier": "1992738538",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellport, NY

Sources for this page

Verify at the official NPI Registry.