Kevin Anderson

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

5943 Issued in NY

Practice address

8002 Kew Gardens Rd Ste 704
Kew Gardens, NY 11415-3607

Phone

(718) 520-1513

Fax

(718) 520-6460

NPI assigned

Jul 18, 2022

Last updated

Sep 23, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Arms Acres, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Jamaica, NY
  • NPI 1265020259
  NPD
• Arms Acres Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Carmel, NY
  • NPI 1235184227
  NPD (past)

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1821723628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13210 S CONDUIT AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114301505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8002 KEW GARDENS RD STE 704",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114153607",
            "telephone_number": "718-520-1513",
            "fax_number": "718-520-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NY",
            "license": "5943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Always Available Therapy Services
• Alexandra Ames, DDS
• Milana Aminova
• Sveltana Aminova, OPTICIAN
• Kerlos Ammonius, PT
• Isabelle Angulo
• Jean Carlos Arache, PHYSICIAN ASSISTANT
• Ilyas Aranbayev, FNP
• Kristina Aranbayeva, OTR/L
• Muhammed Arif

• Peer Specialist in Kew Gardens, NY
• Providers in Kew Gardens, NY by specialty
• Peer Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.