Organization Active NPI

Jeffrey Kass DPM PC

  • Podiatrist
  • Forest Hills, NY
National Provider Identifier
1659540706
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005215 Issued in NY
Legal business name
JEFFREY KASS DPM PC
Practice address
6812 Yellowstone Blvd
Ste a
Forest Hills, NY 11375-3268
Phone
(718) 575-3737
NPI assigned
Feb 22, 2008
Last updated
Feb 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Jeffrey Kass, DPMNPI 1831297902
Title
Owner
Phone
(718) 575-3737

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X N005215 NY Primary

Addresses

Primary practice location

6812 Yellowstone Blvd
Ste a
Forest Hills, NY 11375-3268

Mailing address

6812 Yellowstone Blvd
Ste a
Forest Hills, NY 11375-3268
Phone (718) 575-3737

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090909000194 NY Part B Supplier - Clinic/Group Practice 9830244227 Receives reassigned benefits from 2 practitioners
Practice locations: Forest Hills, NY; Woodhaven, NY; Rosedale, NY
O20100930087668 NY DME Supplier - Physician - Podiatry 9830244227 Practice locations: Forest Hills, NY

National Provider Directory

National Provider Directory

Locations

6812 Yellowstone Blvd
Ste A
Forest Hills, NY 11375
Phone (718) 575-3737

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1659540706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6812 YELLOWSTONE BLVD",
            "address_2": "STE A",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753268",
            "telephone_number": "718-575-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6812 YELLOWSTONE BLVD",
            "address_2": "STE A",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753268",
            "telephone_number": "718-575-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY KASS DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "KASS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-575-3737",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.