Sherry H Kesden, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

134728 Issued in NY

Practice address

649 Broadway
Massapequa, NY 11758-2313

Phone

(516) 798-1411

Fax

(516) 798-0362

NPI assigned

Jul 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1780609388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 MERRICK AVENUE",
            "address_2": "SUITE 80N",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "11590",
            "telephone_number": "516-804-5200",
            "fax_number": "516-240-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582313",
            "telephone_number": "516-798-1411",
            "fax_number": "516-798-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESDEN",
        "first_name": "SHERRY",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "134728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00668680",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John P Kelly, RPA
• Caitlin Bree Kennedy, D.AC., L.AC
• Kristine Kenning
• Roger Kersten, D.O.
• Dennis M Kesden, MD
• David B Kessler, D.O.
• Sandra J Ketcham, PT
• Eric Khairi, PA
• Irina Kholodny, R-PAC
• Heidi L Kiernan, L.AC.

• Ophthalmology Physician in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.