Steven Kazenoff, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

25MA04612000 Issued in NJ

Practice address

419 N Harrison St
Suite 201
Princeton, NJ 08540-3521

Phone

(609) 924-9300

Fax

(609) 430-9481

NPI assigned

Oct 18, 2006

Last updated

Jun 18, 2010By 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 7

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Princeton Medical Group,P.a.

  • Internal Medicine Physician
  • Princeton, NJ
  • NPI 1063513679

  Dermatology

  Medicare reassignment NPD
• Princeton Medical Group, P.a.

  • Non-Pharmacy Dispensing Site
  • Plainsboro, NJ
  • NPI 1144617937
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1841371507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 N HARRISON ST",
            "address_2": "SUITE 201",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403521",
            "telephone_number": "609-924-9300",
            "fax_number": "609-430-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 N HARRISON ST",
            "address_2": "SUITE 201",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403521",
            "telephone_number": "609-924-9300",
            "fax_number": "609-430-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZENOFF",
        "first_name": "STEVEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA04612000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0585106",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HLTHCARE-SPECIALTY",
            "identifier": "2529552",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD-SPECIALTY",
            "identifier": "MEP066",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MED-SPECIALTY",
            "identifier": "070009775",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHLTH/IBC",
            "identifier": "0108638000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHLTH ADMIN SPECIALTY",
            "identifier": "486356",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-SPECIALTY",
            "identifier": "883674",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gurpreet Kaur, ED.D,LPC, NCC, CCMHC
• Kay M. Monkhouse, PHD., Speech-Language Pathologists
• Sweetie Kaycee, LPC
• Stephen Peter Kayiaros, MD
• Mary E Kazanski, MD
• KC Medical PLLC
• Megan Keelan
• Joseph A Keifer, PSY.D
• Gaurav Kekatpure, PT
• Rebecca Ann Keller, PT

• Dermatology Physician in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; 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.

Verify at the official NPI Registry.