Individual provider Active NPI

Aleksey Kuklov, M.D.

  • Anesthesiology Physician
  • Goshen, NY
National Provider Identifier
1659699015
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
257015 Issued in NY
Practice address
70 Hatfield LN
Suite 201
Goshen, NY 10924-6734
Phone
(845) 294-2006
NPI assigned
May 11, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 257015 NY Primary

Addresses

Primary practice location

70 Hatfield LN
Suite 201
Goshen, NY 10924-6734

Mailing address

26 Durham Dr
Apt D
Amherst, NY 14228-2448
Phone (716) 579-0191

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100913000194 NY Practitioner - Anesthesiology 5597880732 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ramapo Anesthesiologists, PCGroup PAC ID 3476444373, 78 clinicians

Practice addresses (Care Compare)

15 Maple Ave
Warwick, NY 10990-1028
Phone (845) 357-5775

Hospital & facility affiliations

  • St Anthony Community Hospital Hospital, Warwick, NY, CCN 330205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Warwick Anesthesia Group LLC Anesthesiology CurrentSince Jul 7, 2014 Accepting new patients
Ramapo Anesthesiologists, PC Anesthesiology CurrentSince Mar 9, 2024 Accepting new patients

Locations

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

233 Lafayette Ave
Ste LL5
Suffern, NY 10901
Phone (914) 794-7741

15 Maple Ave
Warwick, NY 10990
Phone (845) 986-2224

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273536000000",
    "number": "1659699015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 DURHAM DR",
            "address_2": "APT D",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282448",
            "telephone_number": "716-579-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 HATFIELD LN",
            "address_2": "SUITE 201",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246734",
            "telephone_number": "845-294-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKLOV",
        "first_name": "ALEKSEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "257015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, NY

Sources for this page

Verify at the official NPI Registry.