Organization Active NPI

Dr. Stuart Kitton

  • Durable Medical Equipment & Medical Supplies
  • New York, NY
National Provider Identifier
1790956993
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
N002750 Issued in NY
Legal business name
DR. STUART KITTON
Practice address
3410 Broadway # 18
New York, NY 10031-7400
Phone
(212) 844-9490
Fax
(212) 368-1513
NPI assigned
Mar 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Dr. Stuart Kitton, DPM
Title
Podiatrist
Phone
(212) 844-9490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X N002750 NY Primary

Addresses

Primary practice location

3410 Broadway # 18
New York, NY 10031-7400

Mailing address

41 Woods Dr
Roslyn, NY 11576-2613
Phone (516) 626-3999

Other identifiers 2

IdentifierTypeStateIssuer
00415274MedicaidNY
0539902MedicaidNJ

National Provider Directory

National Provider Directory

Locations

3410 Broadway
#18
New York, NY 10031
Phone (212) 844-9490

601 W 138th St
#B
New York, NY 10031
Phone (212) 844-9490

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1790956993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 WOODS DR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762613",
            "telephone_number": "516-626-3999",
            "fax_number": "212-368-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 BROADWAY # 18",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100317400",
            "telephone_number": "212-844-9490",
            "fax_number": "212-368-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. STUART KITTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "KITTON",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "212-844-9490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "N002750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00415274",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0539902",
            "state": "NJ"
        }
    ],
    "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 Mar 14, 2008; 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.