Individual provider Active NPI

Jenny Kam, M.D.

  • Anesthesiology Physician
  • Melville, NY
National Provider Identifier
1811156193
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
248002-1 Issued in NY
Practice address
68 S Service Rd
Suite 350
Melville, NY 11747-2354
Phone
(888) 240-1793
NPI assigned
Jun 3, 2008
Last updated
Oct 31, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 248002-1 NY Primary

Addresses

Primary practice location

68 S Service Rd
Suite 350
Melville, NY 11747-2354

Mailing address

68 S Service Rd
Suite 350
Melville, NY 11747-2354

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
I20100716000241 NY Practitioner - Anesthesiology 9436281086 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Icahn School of Medicine at Mount Sinai, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore - Lij Anesthesiology, PCGroup PAC ID 1153602453, 990 clinicians
Meadowbrook Medical AssociatesGroup PAC ID 3274699657, 14 clinicians

Practice addresses (Care Compare)

1 Healthy Way
Oceanside, NY 11572-1551
Phone (516) 632-3000

27005 75TH Ave
New Hyde Park, NY 11040-1402
Phone (718) 470-7000

865 Merrick Ave
Suite 150N
Westbury, NY 11590-6902
Phone (516) 542-3636

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
248002-1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meadowbrook Medical Associates Anesthesiology CurrentSince Aug 19, 2017 Accepting new patients
North Shore - Lij Anesthesiology, PC Anesthesiology CurrentSince Jun 19, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai Anesthesiology CurrentSince May 15, 2025 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Jul 1, 2010 Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

300 Community Dr
Manhasset, NY 11030

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

27005 76th Ave
North New Hyde Pk, NY 11040

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

865 Merrick Ave
Ste 150N
Westbury, NY 11590
Phone (516) 542-3636

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351641600000",
    "number": "1811156193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 S SERVICE RD",
            "address_2": "SUITE 350",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 S SERVICE RD",
            "address_2": "SUITE 350",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472354",
            "telephone_number": "888-240-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAM",
        "first_name": "JENNY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2012-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "248002-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

Verify at the official NPI Registry.