Active NPI
Jeffrey T Kessler, M.D.
- Neurology Physician
- Lake Success, NY
National Provider Identifier
1760469316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 106804-1
- Practice address
- 1991 Marcus Avenue
Suite 110
Lake Success, NY 11042-2057 - Phone
- (516) 466-4700
- Fax
- (516) 466-4810
- NPI assigned
- Dec 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 106804 | NY | |
| Neurology Physician | 2084N0400X | 106804-1 | NY | Primary |
Addresses
Primary practice location
1991 Marcus Avenue
Suite 110
Lake Success, NY 11042-2057
Mailing address
1991 Marcus Avenue
Suite 110
Lake Success, NY 11042-2057
Phone (516) 466-4700
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112434927 | Other | NY | ANTHEM HEALTH NETWORK |
| 112434927 | Other | NY | ONE HEALTH PLAN |
| 112434927 | Other | NY | TPA/ BENESIGHT |
| 112434927 | Other | NY | AMERIHEALTH PPO/HMO/POS |
| 112434927 | Other | NY | BEECH STREET CORPORATION |
| 112434927 | Other | NY | FIRST HEALTH |
| 112434927 | Other | NY | MULTIPLAN |
| 1196482002 | Other | NY | CIGNA HEALTHCARE |
| 957631 | Other | NY | EMPIRE HEALTH CHOICE |
| 112434927 | Other | NY | PHCS |
| OC2811 | Other | NY | PHS/ACS |
| AS1203 | Other | NY | OXFORD |
| 4292117 | Other | NY | AETNA MC/PPO/EPO |
| 883074 | Other | NY | AETNA HMO |
| 173486 | Other | NY | EMPIRE PLAN/UNITED HEALTH |
| 112434927 | Other | NY | SELECT PRO |
| 112434927 | Other | NY | HORIZON HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236124800000",
"number": "1760469316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1991 MARCUS AVENUE",
"address_2": "SUITE 110",
"city": "LAKE SUCCESS",
"state": "NY",
"postal_code": "110422057",
"telephone_number": "516-466-4700",
"fax_number": "516-466-4810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1991 MARCUS AVENUE",
"address_2": "SUITE 110",
"city": "LAKE SUCCESS",
"state": "NY",
"postal_code": "110422057",
"telephone_number": "516-466-4700",
"fax_number": "516-466-4810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESSLER",
"first_name": "JEFFREY",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-26",
"last_updated": "2009-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "106804",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "106804-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM HEALTH NETWORK",
"identifier": "112434927",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE HEALTH PLAN",
"identifier": "112434927",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TPA/ BENESIGHT",
"identifier": "112434927",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH PPO/HMO/POS",
"identifier": "112434927",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEECH STREET CORPORATION",
"identifier": "112434927",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "112434927",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "112434927",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "1196482002",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE HEALTH CHOICE",
"identifier": "957631",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "112434927",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHS/ACS",
"identifier": "OC2811",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "AS1203",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA MC/PPO/EPO",
"identifier": "4292117",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "883074",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE PLAN/UNITED HEALTH",
"identifier": "173486",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT PRO",
"identifier": "112434927",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON HEALTHCARE",
"identifier": "112434927",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Success, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.