Individual provider Active NPI

Yakov S Kiffel, M.D.

  • Pediatrics Physician
  • Monsey, NY
National Provider Identifier
1760578223
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
209664-1 Issued in NY
Practice address
23 Robert Pitt Dr
Suite 109
Monsey, NY 10952-3373
Phone
(845) 364-5437
Fax
(845) 362-0589
NPI assigned
Oct 4, 2006
Last updated
Apr 20, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 209664-1 NY Primary

Addresses

Primary practice location

23 Robert Pitt Dr
Suite 109
Monsey, NY 10952-3373

Mailing address

10 Woodwind Lane
Spring Valley, NY 10977-1614
Phone (845) 364-5437

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250122003659 NY Practitioner - Pediatric Medicine 3971802224 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
209664-1NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Care365 LLC CurrentSince Nov 21, 2024 Accepting new patients
Good Samaritan Hospital of Suffern Past Accepting new patients
New Hempstead Pediatrics, PC Pediatrics Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334880000000",
    "number": "1760578223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WOODWIND LANE",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109771614",
            "telephone_number": "845-364-5437",
            "fax_number": "845-362-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 ROBERT PITT DR",
            "address_2": "SUITE 109",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109523373",
            "telephone_number": "845-364-5437",
            "fax_number": "845-362-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIFFEL",
        "first_name": "YAKOV",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "209664-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monsey, NY

Sources for this page

Verify at the official NPI Registry.