Active NPI
Shalom Kieval MD PC
- Ophthalmology Physician
- Latham, NY
National Provider Identifier
1821316928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- SHALOM KIEVAL MD PC
- Practice address
- 13 Sunset Dr.
Latham, NY 12110 - Phone
- (518) 218-1234
- Fax
- (518) 218-1237
- NPI assigned
- May 13, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shalom J. Kieval, MD
- Title
- Owner
- Phone
- (518) 218-1234
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
13 Sunset Dr.
Latham, NY 12110
Mailing address
13 Sunset Dr.
Latham, NY 12110
Phone (518) 218-1234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
223 Great Oaks Blvd
Albany, NY 12203
Phone (518) 218-1234
13 Sunset Dr
Latham, NY 12110
Phone (518) 218-1234
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Albany, NY
- NPI 1316048796
-
- Ophthalmology Physician
- Albany, NY
- NPI 1427055672
-
- Retina Specialist (Ophthalmology) Physician
- Zephyrhills, FL
- NPI 1447773296
Multi-Specialty, NY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273708800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628467200000",
"number": "1821316928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 SUNSET DR.",
"city": "LATHAM",
"state": "NY",
"postal_code": "12110",
"telephone_number": "518-218-1234",
"fax_number": "518-218-1237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 SUNSET DR.",
"city": "LATHAM",
"state": "NY",
"postal_code": "12110",
"telephone_number": "518-218-1234",
"fax_number": "518-218-1237"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHALOM KIEVAL MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-13",
"last_updated": "2021-08-09",
"certification_date": "2021-08-09",
"status": "A",
"authorized_official_last_name": "KIEVAL",
"authorized_official_first_name": "SHALOM",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "518-218-1234",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Latham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.