Organization Active NPI

Stefan P. Kieserman MD LLP

  • Specialist
  • New York, NY
National Provider Identifier
1760456842
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
186940 Issued in NY
Legal business name
STEFAN P. KIESERMAN MD LLP
Practice address
61 E 86TH St
New York, NY 10028-1068
Phone
(212) 717-8008
NPI assigned
Feb 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stefan P Kieserman, MD
Title
Sole Proprietor
Phone
(212) 717-8008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 186940 NY Primary

Addresses

Primary practice location

61 E 86TH St
New York, NY 10028-1068

Mailing address

61 E 86TH St
New York, NY 10028-1068
Phone (212) 717-8008

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760456842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 E 86TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281068",
            "telephone_number": "212-717-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 E 86TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281068",
            "telephone_number": "212-717-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEFAN P. KIESERMAN MD LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIESERMAN",
        "authorized_official_first_name": "STEFAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "212-717-8008",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "186940",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 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.