Active NPI
Stefan P. Kieserman MD LLP
- Specialist
- New York, NY
National Provider Identifier
1760456842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 186940
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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 DirectoryNPI 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.