Active NPI
Stephen Kisberg DPM
- Durable Medical Equipment & Medical Supplies
- Woodmere, NY
National Provider Identifier
1700056868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- N002365-1
- Legal business name
- STEPHEN KISBERG DPM
- Practice address
- 11 Franklin PL
Woodmere, NY 11598-1216 - Phone
- (516) 295-2121
- Fax
- (516) 295-4727
- NPI assigned
- Mar 5, 2008
- Last updated
- Mar 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carlene Walters
- Title
- Office Administrator
- Phone
- (516) 295-2121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | N002365-1 | NY | Primary |
Addresses
Primary practice location
11 Franklin PL
Woodmere, NY 11598-1216
Mailing address
11 Franklin PL
Woodmere, NY 11598-1216
Phone (516) 295-2121
National Provider Directory
National Provider Directory- Tax ID family
- Dr Lloyd a Bardfeld
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Foot & Ankle Surgery Podiatrist
- Far Rockaway, NY
- NPI 1124292685
-
- Durable Medical Equipment & Medical Supplies
- Far Rockaway, NY
- NPI 1992975049
Locations
11 Franklin Pl
Woodmere, NY 11598
Phone (516) 341-0151
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Foot & Ankle Surgery Podiatrist
- Far Rockaway, NY
- NPI 1205921145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204675200000",
"number": "1700056868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 FRANKLIN PL",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115981216",
"telephone_number": "516-295-2121",
"fax_number": "516-295-4727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 FRANKLIN PL",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115981216",
"telephone_number": "516-295-2121",
"fax_number": "516-295-4727"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHEN KISBERG DPM",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-05",
"last_updated": "2008-03-05",
"status": "A",
"authorized_official_last_name": "WALTERS",
"authorized_official_first_name": "CARLENE",
"authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
"authorized_official_telephone_number": "516-295-2121"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NY",
"license": "N002365-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodmere, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.