Edwin Kaczenski

Primary specialty

Infectious Diseases PharmacistTaxonomy code 1835I0206X

License

066128 Issued in NY

Practice address

43 New Scotland Ave
Albany, NY 12208-3478

Phone

(518) 262-3255

NPI assigned

Apr 29, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1659127801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 NEW SCOTLAND AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 NEW SCOTLAND AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083478",
            "telephone_number": "518-262-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACZENSKI",
        "first_name": "EDWIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835I0206X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Infectious Diseases",
            "state": "NY",
            "license": "066128",
            "primary": true
        },
        {
            "code": "1835I0206X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Infectious Diseases",
            "state": "MA",
            "license": "PI161789",
            "primary": false
        },
        {
            "code": "1835I0206X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Infectious Diseases",
            "state": "VA",
            "license": "0202218630",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juwon Park DMD PC
• Lee Kaback, MD
• Kabafusion Ny, LLC
• Fleur Serena Kabala
• Jay Lawrence Kabinoff, D.M.D.
• Jared Paul Kaczynski, RN, CNOR, RNFA
• Pooja Kadam, MD
• Marsha Kaddo Mouawad, LMHC
• Kara Kaestel, PA
• Laurel Brown Kaftal, CRNA

• Infectious Diseases Pharmacist in Albany, NY
• Providers in Albany, NY by specialty
• Infectious Diseases Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.