NPIMap

Individual provider Active NPI

Karin Kalkstein, MD

  • Family Medicine Physician
  • Richmond Hill, NY
National Provider Identifier
1770549602
Registry record updated Sep 7, 2010
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Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
211780 Issued in NY
Practice address
13303 Jamaica Avenue
Richmond Hill, NY 11418
Phone
(718) 657-7093
Fax
(718) 558-5314
NPI assigned
Apr 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 211780 NY Primary

Addresses

Primary practice location

13303 Jamaica Avenue
Richmond Hill, NY 11418

Mailing address

8906 135TH Street
7L
Jamaica, NY 11418
Phone (718) 206-6984

Other identifiers 1

IdentifierTypeStateIssuer
01978330MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060814000189 NY Practitioner - Family Practice 5890798839 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Warren Alpert Medical School of Brown University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore-Lij Medical Group PCGroup PAC ID 3971878901, 31 clinicians

Practice addresses (Care Compare)

1983 Marcus Ave
Suite C102
New Hyde Park, NY 11042-2006
Phone (516) 876-4100

Hospital & facility affiliations

  • North Shore Home Care Chha Home health agency, Westbury, NY, CCN 337148
  • VNS of Ny Home Care Chha Home health agency, New York, NY, CCN 337008
  • Emerest Home Health Care of Long Island Home health agency, Flushing, NY, CCN 337189
  • Hospice Care of Long Island, Queens, South Shore Hospice, Woodbury, NY, CCN 331532

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
211780NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical Group P.C. Family Medicine CurrentSince Jul 30, 2017 Accepting new patients
North Shore-Lij Medical PC Family Medicine CurrentSince Dec 2, 2012 Accepting new patients
North Shore - Lij Medical PC CurrentSince Dec 2, 2012 Accepting new patients
Choice Family Medicine Family Medicine PastSince Jan 1, 1990 Accepting new patients
Choice Family Medicine Family Medicine PastSince Jan 1, 1990 Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

330 S Service Rd
Ste 121
Melville, NY 11747
Phone (516) 876-4100

1983 Marcus Ave
Ste C102
New Hyde Park, NY 11042
Phone (516) 872-4100

27005 76th Ave
North New Hyde Pk, NY 11040

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: kkalkstein26349@northwell.direct-ci.com

Organizations & group practices 5

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283817600000",
    "number": "1770549602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 135TH STREET",
            "address_2": "7L",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11418",
            "telephone_number": "718-206-6984",
            "fax_number": "718-206-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13303 JAMAICA AVENUE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "11418",
            "telephone_number": "718-657-7093",
            "fax_number": "718-558-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALKSTEIN",
        "first_name": "KARIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2010-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "211780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01978330",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

Verify at the official NPI Registry.