Active NPI
Sanford J. Kempin, M.D.
- Specialist
- New York, NY
National Provider Identifier
1760470280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 127759
- Practice address
- 325 W 15TH St
New York, NY 10011-5903 - Phone
- (212) 367-1864
- Fax
- (212) 604-6038
- NPI assigned
- Oct 10, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 127759 | NY | Primary |
Addresses
Primary practice location
325 W 15TH St
New York, NY 10011-5903
Mailing address
PO Box 95000-2441
Philadelphia, PA 19195-2441
Phone (212) 367-1864
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02057894 | Medicaid | NY |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031117000605 | NY | Practitioner - Hematology | 4688588338 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 127759 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354665600000",
"number": "1760470280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95000-2441",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191952441",
"telephone_number": "212-367-1864",
"fax_number": "212-604-6038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 W 15TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100115903",
"telephone_number": "212-367-1864",
"fax_number": "212-604-6038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMPIN",
"first_name": "SANFORD",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-10",
"last_updated": "2012-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "127759",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02057894",
"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 Dec 5, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.