Individual provider Active NPI

Martin E. Kessler, M.D.,F.A.C.S.

  • Specialist
  • Great Neck, NY
National Provider Identifier
1831274711
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
146538 Issued in NY
Practice address
650 Northern Blvd
Great Neck, NY 11021-5204
Phone
(516) 466-7000
Fax
(516) 466-9025
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 146538 NY Primary

Addresses

Primary practice location

650 Northern Blvd
Great Neck, NY 11021-5204

Mailing address

650 Northern Blvd
Great Neck, NY 11021-5204
Phone (516) 466-7000

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
I20110304000006 NY Practitioner - Plastic and Reconstructive Surgery 6507906518 Reassigns benefits to 3 organizations
Practice locations: Rockville Centre, NY

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
JS Weill Medical College, Cornell University, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Massapequa Dermatology PLLCGroup PAC ID 2769637941, 6 clinicians

Practice addresses (Care Compare)

70 Grand Ave
Massapequa, NY 11758-4906
Phone (516) 799-1600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision309
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
146538NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
KH Plastic Surgery PC CurrentSince Jan 1, 2016 Accepting new patients
Suzanne Sirota Rozenberg DO,PC CurrentSince Sep 15, 2022 Accepting new patients
Massapequa Dermatology PLLC CurrentSince May 30, 2023 Accepting new patients
North American Partners in Anesthesia LLP Past Accepting new patients
Island Dermatology, PC PastSince May 30, 2023 Accepting new patients

Locations

70 Grand Ave
Massapequa, NY 11758
Phone (516) 799-1600

143 N Long Beach Rd
Ste 4
Rockville Ctr, NY 11570
Phone (516) 442-5950

11 Irving Pl
Woodmere, NY 11598
Phone (516) 295-5570

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831274711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 NORTHERN BLVD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215204",
            "telephone_number": "516-466-7000",
            "fax_number": "516-466-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 NORTHERN BLVD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215204",
            "telephone_number": "516-466-7000",
            "fax_number": "516-466-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSLER",
        "first_name": "MARTIN",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.,F.A.C.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "146538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.