Kingston Surgical, PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

136378-1 Issued in NY

Legal business name

KINGSTON SURGICAL, PLLC

Practice address

40 Hurley Ave
Suite 17
Kingston, NY 12401-3739

Phone

(845) 338-3212

Fax

(845) 339-0299

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kalyan R Venkat, M.D.NPI 1730178377

Title

Sole Proprietor

Phone

(845) 338-3212

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Kalyan R. Venkat, M.D.

  • Surgery Physician
  • Kingston, NY
  • NPI 1730178377
  NPD (past) Authorized official
• Thomas Vito Stellato, M.D.

  • Urology Physician
  • Kingston, NY
  • NPI 1548353675
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700950326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 HURLEY AVE",
            "address_2": "SUITE 17",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013739",
            "telephone_number": "845-338-3212",
            "fax_number": "845-339-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 HURLEY AVE",
            "address_2": "SUITE 17",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013739",
            "telephone_number": "845-338-3212",
            "fax_number": "845-339-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSTON SURGICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VENKAT",
        "authorized_official_first_name": "KALYAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "845-338-3212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "136378-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00573331",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kingston Neurological Associates,P.C.
• Kingston Oncology Hematology PLLC
• Kingston Physical Therapy and Sports Rehab PC
• Kingston Physical-Occupational Therapy & Sports Rehab PLLC
• Kingston Radiation Oncology
• Kingston Urological Associates
• Beverly Kipp, LPN
• Jennifer M. Kirchner, LMFT
• Olga Kiselova, NP
• Barbara Klahn-Cuffe, P.T.

• Surgery Physician in Kingston, NY
• Providers in Kingston, 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 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.