Active NPI
Kinga Kiszko, D.O
- Geriatric Medicine (Internal Medicine) Physician
- New York, NY
National Provider Identifier
1720471402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 284443
- Practice address
- 1468 Madison Ave
New York, NY 10029-6508 - Phone
- (212) 241-6500
- NPI assigned
- Mar 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 284443 | NY | |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 284443 | NY | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 284443 | NY | Primary |
Addresses
Primary practice location
1468 Madison Ave
New York, NY 10029-6508
Mailing address
PO Box 28082
New York, NY 10087-8082
Phone (212) 987-3100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05348912 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospice/Palliative Care
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Gustave L Levy PL
New York, NY 10029-6504
Phone (212) 658-8552
108 Jackson St
Apt 6B
Hoboken, NJ 07030-6101
Phone (800) 825-5391
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Physician Services PC | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Geriatric Medicine | Current | Accepting new patients |
Locations
85 Harristown Rd
Ste 202
Glen Rock, NJ 07452
301 Godwin Ave
Midland Park, NJ 07432
Phone (201) 444-4526
5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234
150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119
1468 Madison Ave
New York, NY 10029
Phone (212) 241-0440
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- kinga.kiszko.1@5622.direct.athenahealth.com
Organizations & group practices 3
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.
-
dba Geriatric Medicine Department of Mount Sinai
- Geriatric Medicine (Internal Medicine) Physician
- New York, NY
- NPI 1689947160
-
- Internal Medicine Physician
- Paramus, NJ
- NPI 1467815928
-
dba New York Eye & Ear Optical Shop
- Eyewear Supplier
- New York, NY
- NPI 1760227466
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Patient Care
- Community Based Hospice Care Agency
- Passaic, NJ
- NPI 1144280017
Home health agency
-
- General Acute Care Hospital
- Paramus, NJ
- NPI 1013912633
-
- Home Health Agency
- Paramus, NJ
- NPI 1174588925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1720471402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 28082",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100878082",
"telephone_number": "212-987-3100",
"fax_number": "212-731-5210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1468 MADISON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296508",
"telephone_number": "212-241-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISZKO",
"first_name": "KINGA",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-05",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "284443",
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "NY",
"license": "284443",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NY",
"license": "284443",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05348912",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.