Active NPI
Kevin John Eerkes, M.D.
- Sports Medicine (Internal Medicine) Physician
- New York, NY
National Provider Identifier
1801942248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Internal Medicine) Physician
- License
- 208971-1
- Practice address
- 726 Broadway
4TH Floor
New York, NY 10003-9502 - Phone
- (212) 443-1249
- NPI assigned
- Jan 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | 208971-1 | NY | Primary |
Addresses
Primary practice location
726 Broadway
4TH Floor
New York, NY 10003-9502
Mailing address
345 E 54TH St
#1-G
New York, NY 10022-4957
Phone (212) 443-1249
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 208971-1 | NY | MD | Sports Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801942248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 E 54TH ST",
"address_2": "#1-G",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100224957",
"telephone_number": "212-443-1249",
"fax_number": "212-443-1151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "726 BROADWAY",
"address_2": "4TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100039502",
"telephone_number": "212-443-1249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EERKES",
"first_name": "KEVIN",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0010X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sports Medicine",
"state": "NY",
"license": "208971-1",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.