Active NPI
K. Andrew Cerveny Jr., MD
- Dermatology Physician
- Long Beach, NY
National Provider Identifier
1821037664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 240053
- Practice address
- 604 E Park Ave
Long Beach, NY 11561-2505 - Phone
- (516) 432-0011
- Fax
- (516) 432-1686
- NPI assigned
- Jun 6, 2006
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 240053 | NY | Primary |
Addresses
Primary practice location
604 E Park Ave
Long Beach, NY 11561-2505
Mailing address
604 E Park Ave
Long Beach, NY 11561-2505
Phone (516) 432-0011
Other names 1
- Kenneth Andrew Cerveny Jr.
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Northeastern Ohio University College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
385 Merrick Rd
Amityville, NY 11701-3420
Phone (212) 283-3000
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 167 |
| Removal of skin lesions | 7413 |
| Removal or shaving of skin growth | 831 |
| Skin biopsy | 1721 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- New York, NY
- NPI 1831438662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309824000000",
"number": "1821037664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 E PARK AVE",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115612505",
"telephone_number": "516-432-0011",
"fax_number": "516-432-1686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 E PARK AVE",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115612505",
"telephone_number": "516-432-0011",
"fax_number": "516-432-1686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERVENY",
"first_name": "K. ANDREW",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2011-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "240053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KENNETH",
"last_name": "CERVENY",
"middle_name": "ANDREW",
"suffix": "JR.",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Long Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.