Michael J Kassouf, MD.,PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MICHAEL J KASSOUF, MD.,PC

Practice address

346 76TH St
Brooklyn, NY 11209-3106

Phone

(718) 238-0131

NPI assigned

Jul 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Michael J Kassouf, M.D.NPI 1609812528

Title

President

Phone

(718) 238-0131

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Michael J Kassouf, MD

  • Vascular Surgery Physician
  • Brooklyn, NY
  • NPI 1609812528

  NJ

  Medicare reassignment NPD Authorized official
• Qiyuan Chen, MD

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1235259284
  NPD (past)

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248048000000",
    "number": "1659501088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 76TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093106",
            "telephone_number": "718-238-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 76TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093106",
            "telephone_number": "718-238-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J KASSOUF, MD.,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A",
        "authorized_official_last_name": "KASSOUF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-238-0131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00460839",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Epstein Nutrition PLLC
• Michael Espinoza, Licensed Mental Health Counselor, PLLC
• Michael F Cabbad MD PLLC
• Michael Hanan Medical PC
• Michael Hecht MD, PLLC
• Michael J. Dalto M.D. P.C.
• Michael K Emanuel DDS Shirley Lew DMD PC
• Michael Korngold DDS PLLC
• Michael Lapidus, MD PC
• Michael Leifman

• Surgery Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.