Individual provider Active NPI

Lawrence Jay Kessler, DO

  • Emergency Medicine Physician
  • Amityville, NY
National Provider Identifier
1770675902
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
188733 Issued in NY
Practice address
365 Broadway
Suite 1
Amityville, NY 11701-2716
Phone
(631) 841-4102
Fax
(631) 841-4104
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 188733 NY Primary

Addresses

Primary practice location

365 Broadway
Suite 1
Amityville, NY 11701-2716

Mailing address

365 Broadway
Suite 1
Amityville, NY 11701-2716
Phone (631) 841-4102

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
I20040501000021 NY Practitioner - Emergency Medicine 2567351281 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Urgent Care of Wantagh PLLC CurrentSince Aug 1, 2022 Accepting new patients
Optum Urgent Care, PLLC CurrentSince May 5, 2014 Accepting new patients
Sound Emergency Physicians, PC Emergency Medicine CurrentSince Feb 1, 2004 Accepting new patients
Lawrence J. Kessler, D.O Emergency Medicine Current Accepting new patients
Hudson Valley Emergency Medicine PLLC Past Accepting new patients

Locations

365 Broadway
Ste 1
Amityville, NY 11701
Phone (631) 464-4545

699 92nd St
Brooklyn, NY 11228
Phone (718) 259-7300

555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070

4954 Merrick Rd
Massapequa Park, NY 11762
Phone (516) 308-7255

2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6131

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

29 W 34th St
Fl 4
New York, NY 10001

3430 Sunrise Hwy
Wantagh, NY 11793
Phone (516) 900-1600

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313539200000",
    "number": "1770675902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 BROADWAY",
            "address_2": "SUITE 1",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012716",
            "telephone_number": "631-841-4102",
            "fax_number": "631-841-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 BROADWAY",
            "address_2": "SUITE 1",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012716",
            "telephone_number": "631-841-4102",
            "fax_number": "631-841-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSLER",
        "first_name": "LAWRENCE",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2011-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "188733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

Verify at the official NPI Registry.