Robert Kazenoff, M.D., F.A.C.P.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

147530 Issued in NY

Practice address

205 E Main St
Suite 2-7B
Huntington, NY 11743-2923

Phone

(631) 351-9100

Fax

(631) 351-9110

NPI assigned

Sep 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Robert Kazenoff MD PC

  • Internal Medicine Physician
  • Huntington, NY
  • NPI 1821298704
  NPD (past) Authorized official

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331251200000",
    "number": "1649266073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E MAIN ST",
            "address_2": "SUITE 2-7B",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432923",
            "telephone_number": "631-351-9100",
            "fax_number": "631-351-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E MAIN ST",
            "address_2": "SUITE 2-7B",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432923",
            "telephone_number": "631-351-9100",
            "fax_number": "631-351-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZENOFF",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2012-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "147530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "26E931",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "CP485",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01131511",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "112495",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4248318",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maneet Kaur-Kohli
• Harman Kaur
• Kathleen Kawar, PHARM D
• Jared Kay
• Randy Drew Kay, D.D.S.
• Beth-Anne Keating, N.P.
• Christine M Keil
• Colleen Kelly
• Sandra C Kelly, LCSW-R
• Frances Kennedy

• Internal Medicine Physician in Huntington, NY
• Providers in Huntington, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.