Kingswood Medical

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

124051 Issued in NY

Legal business name

KINGSWOOD MEDICAL

Practice address

290 Central Ave
Suite 204
Lawrence, NY 11559-8507

Phone

(516) 239-5959

Fax

(516) 239-6866

NPI assigned

May 30, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joshua M Feibusch, M.D.

Title

President

Phone

(516) 239-5959

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669673265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 CENTRAL AVE.",
            "address_2": "SUITE 204",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "11559",
            "telephone_number": "516-239-5959",
            "fax_number": "516-239-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 CENTRAL AVE",
            "address_2": "SUITE 204",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115598507",
            "telephone_number": "516-239-5959",
            "fax_number": "516-239-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSWOOD MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FEIBUSCH",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-239-5959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "124051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shari Jill Katlowitz, M.S.
• Marlee Katz
• Mandeep Kaur
• Louis Keehn I, M.D.
• Rita Kenn, LCSW
• Phillip D Klahr, MD
• Tiffany Klein
• Roman Koldayev, M.D.
• Faige Kopel, M.S., CCC-SLP, TSHH
• Helena Kopel, M.S., CCC-SLP

• Gastroenterology Physician in Lawrence, NY
• Providers in Lawrence, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.