KS Medical, LLC

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

Legal business name

KS MEDICAL, LLC

Practice address

One Robert Wood Johnson Place
Robert Wood Johnson Hospital
New Brunswick, NJ 08901-1966

Phone

(330) 289-9891

NPI assigned

Aug 18, 2014

Organization subpart

No

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

Authorized official

Name

Kianoush Sheykholeslami, M.D.

Title

President

Phone

(330) 289-9891

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1801295696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5118 SILVER FOX TRL",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611147010",
            "telephone_number": "330-289-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE ROBERT WOOD JOHNSON PLACE",
            "address_2": "ROBERT WOOD JOHNSON HOSPITAL",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011966",
            "telephone_number": "330-289-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KS MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "SHEYKHOLESLAMI",
        "authorized_official_first_name": "KIANOUSH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-289-9891",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YS0012X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Krapes
• Svetlana L. Krasnova, APN
• Tracy A Krimmel
• Jill Kropa, M.D.
• Keerthana Krosuri, MD
• Anna W Ku
• Samet Kucukcolak
• Ryan Kuehl
• Sarah Kulp, P.A.C.
• Kaushik Kumar, MD

• Facial Plastic Surgery Physician in New Brunswick, NJ
• Providers in New Brunswick, NJ by specialty
• Facial Plastic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.