Organization Active NPI

Stewart Kamen DPM PC

  • Foot Surgery Podiatrist
  • Bronxville, NY
National Provider Identifier
1659302156
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N004743 Issued in NY
Legal business name
STEWART KAMEN DPM PC
Practice address
77 Pondfield Rd
Bronxville, NY 10708-3809
Phone
(914) 337-6755
Fax
(914) 337-6756
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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

Authorized official

Name
Dr. Stewart Michael Kamen, DPMNPI 1043239452
Title
President
Phone
(914) 337-6755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X N004743 NY Primary

Addresses

Primary practice location

77 Pondfield Rd
Bronxville, NY 10708-3809

Mailing address

77 Pondfield Rd
Bronxville, NY 10708-3809
Phone (914) 337-6755

Other identifiers 3

IdentifierTypeStateIssuer
02241252MedicaidNY
02978352MedicaidNY
02996716MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040629000320 NY Part B Supplier - Clinic/Group Practice 6204812308 Receives reassigned benefits from 1 practitioner
Practice locations: Bronxville, NY
O20100930036734 NY DME Supplier - Physician - Podiatry 6204812308 Practice locations: Bronxville, NY

National Provider Directory

National Provider Directory

Locations

475 White Plains Rd
Eastchester, NY 10709
Phone (914) 961-2322

6 Xavier Dr
Ste 212
Yonkers, NY 10704
Phone (914) 965-4154

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1659302156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 PONDFIELD RD",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107083809",
            "telephone_number": "914-337-6755",
            "fax_number": "914-337-6756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 PONDFIELD RD",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107083809",
            "telephone_number": "914-337-6755",
            "fax_number": "914-337-6756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWART KAMEN DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "KAMEN",
        "authorized_official_first_name": "STEWART",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-337-6755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N004743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02241252",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02978352",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02996716",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronxville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.