Pond R Kelemen

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

602280871 Issued in NY

Practice address

128 Ashford Ave
Community Hospital @ Dobbs Ferry
Dobbs Ferry, NY 10522

Phone

(914) 693-5025

Fax

(914) 693-6351

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Surgical Oncology

Education

State University of New York at Stony Brook, School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Phelps Hospital Hospital, Sleepy Hollow, NY, CCN 330261
• Northern Westchester Hospital Hospital, Mount Kisco, NY, CCN 330162
• St John'S Riverside Hospital Hospital, Yonkers, NY, CCN 330208

Merit-based Incentive Payment System (MIPS)

Final score

93.07 of 100Reported as apm

Quality

79.77

Promoting interoperability

88.77

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (1 of 5)

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: pkelemen27796@northwell.direct-ci.com

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.

• North Shore-Lij Medical PC

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572

  NY

  Medicare reassignment Care Compare group NPD

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

• Northern Westchester Hospital Association

  • Medicare Defined Swing Bed Hospital Unit
  • Mount Kisco, NY
  • NPI 1396178356

  Hospital

  Care Compare affiliation
• Northern Westchester Hospital Association

  • General Acute Care Hospital
  • Mount Kisco, NY
  • NPI 1912992215

  Hospital

  Care Compare affiliation
• Phelps Memorial Hospital Association

  • General Acute Care Hospital
  • Sleepy Hollow, NY
  • NPI 1720185267

  Hospital

  Care Compare affiliation
• St. John'S Riverside Hospital

  • General Acute Care Hospital
  • Yonkers, NY
  • NPI 1578526695

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740200021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 ASHFORD AVE",
            "address_2": "COMMUNITY HOSPITAL @ DOBBS FERRY",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "10522",
            "telephone_number": "914-693-5025",
            "fax_number": "914-693-6351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 ASHFORD AVE",
            "address_2": "COMMUNITY HOSPITAL @ DOBBS FERRY",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "10522",
            "telephone_number": "914-693-5025",
            "fax_number": "914-693-6351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELEMEN",
        "first_name": "POND",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "NY",
            "license": "602280871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02423476",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Minjung Kang, N.P
• Mehmet Kaptan
• Jalanda Karslian, LMSW
• KD Physical Therapy PLLC
• Elizabeth Waterman Keegan, MSW CANDIDATE
• Dorothy Ann Kelly, SLP
• Nora Kelly
• Mark F Kenny, CPO
• Allison Kent, MS, CCC-SLP
• John Charles Kerecz, DDS

• All providers in Dobbs Ferry, NY
• Surgical Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.