Jeffrey Michael Kierstein, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

000725 Issued in CT

Practice address

196 Parkway S
Suite 302
Waterford, CT 06385-1234

Phone

(860) 447-1488

Fax

(860) 447-1489

NPI assigned

Mar 27, 2006

Last updated

Mar 8, 2013By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• DRS Kierstein & Difrancesca DPM, PC

  • Podiatrist
  • Norwich, CT
  • NPI 1841247079
  Medicare reassignment NPD
• DRS Kierstein & Difrancesca DPM, PC

  • Durable Medical Equipment & Medical Supplies
  • Waterford, CT
  • NPI 1699850289

  Podiatrist

  NPD

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362700800000",
    "number": "1841250446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 PARKWAY S",
            "address_2": "SUITE 302",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851234",
            "telephone_number": "860-447-1488",
            "fax_number": "860-447-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 PARKWAY S",
            "address_2": "SUITE 302",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851234",
            "telephone_number": "860-447-1488",
            "fax_number": "860-447-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIERSTEIN",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2013-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "000725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008022294",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul S Kanfer, M.D.
• Andrew Douglas Kass, APN
• Audra Guadalupe Keele, LMT
• Bethany Bonnano Kelly, M. A., CCC-A
• Jeanette Ann Kenney, LADC
• Kenneth R Kierstein, DPM
• Dana Maria Kinard, NP
• Amy R King, RD
• Courtney King
• Dale E Kingsley, LMFT

• Podiatrist in Waterford, CT
• Providers in Waterford, CT by specialty
• Podiatrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.