Individual provider Active NPI

Jeffrey C Kass, DPM

  • Podiatrist
  • Forest Hills, NY
National Provider Identifier
1831297902
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
005215-1 Issued in NY
Practice address
6812 Yellowstone Blvd
Suite a
Forest Hills, NY 11375-3268
Phone
(718) 575-3737
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 005215-1 NY Primary

Addresses

Primary practice location

6812 Yellowstone Blvd
Suite a
Forest Hills, NY 11375-3268

Mailing address

6812 Yellowstone Blvd
# A
Forest Hills, NY 11375-3268
Phone (718) 575-3737

Other identifiers 1

IdentifierTypeStateIssuer
01727504MedicaidNY

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041101000781 NY Practitioner - Podiatry 0648232744 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hollis Ak LLC 8 clinicians
Doctors United, Inc 25 clinicians

Practice addresses (Care Compare)

190 02 Jamaica Ave
Hollis, NY 11423
Phone (718) 577-2211

6812 Yellowstone Blvd
Suite a
Forest Hills, NY 11375-3268
Phone (718) 575-3737

6812 Yellowstone Blvd a
Forest Hills, NY 11375-3268

907 E Tremont Ave
Bronx, NY 10460-4301
Phone (718) 589-9588

Hospital & facility affiliations

  • Emerest Home Health Care of Long Island Home health agency, Flushing, NY, CCN 337189

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue163
Removal of skin lesions80
Removal of nail tissue1092
Removal or shaving of skin growth123
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005215-1NYMDPodiatrist

Practice roles (6 of 10)

OrganizationSpecialtyStatusNew patients
St John'S Medical Services PC CurrentSince Jan 1, 2013 Accepting new patients
Doctors United, Inc CurrentSince Apr 21, 2022 Accepting new patients
Jeffrey Kass DPM PC Podiatrist CurrentSince Jun 1, 1999 Accepting new patients
Hollis Ak LLC CurrentSince Oct 23, 2023 Accepting new patients
Medical Network Services PC Past Accepting new patients
Eastern Physical Medicine and Rehabilitation PC PastSince Oct 23, 2023 Accepting new patients

Locations

907 E Tremont Ave
Bronx, NY 10460
Phone (718) 589-9588

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

431 Beach 20th St
Far Rockaway, NY 11691
Phone (718) 327-2700

6812 Yellowstone Blvd
Ste A
Forest Hills, NY 11375
Phone (718) 575-3737

19002 Jamaica Ave
Jamaica, NY 11423
Phone (718) 417-0207

275 Rockaway Tpke
Lawrence, NY 11559
Phone (516) 371-2225

9502 Rockaway Beach Blvd
Rockaway Beach, NY 11693
Phone (718) 474-2478

176 Grand St
White Plains, NY 10601
Phone (914) 328-6080

174 Grand St
White Plains, NY 10601
Phone (718) 220-8293

340 S Broadway
Yonkers, NY 10705
Phone (914) 968-5125

Networks

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203638400000",
    "number": "1831297902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6812 YELLOWSTONE BLVD",
            "address_2": "# A",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753268",
            "telephone_number": "718-575-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6812 YELLOWSTONE BLVD",
            "address_2": "SUITE A",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753268",
            "telephone_number": "718-575-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASS",
        "first_name": "JEFFREY",
        "middle_name": "C",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "005215-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01727504",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.