Individual provider Active NPI

Paul A Kesselman, DPM

  • Foot & Ankle Surgery Podiatrist
  • Oceanside, NY
National Provider Identifier
1851333827
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
003251 Issued in NY
Practice address
224 W Henrietta Ave
Oceanside, NY 11572-5054
Phone
(516) 457-6959
Fax
(347) 382-9388
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 003251 NY Primary

Addresses

Primary practice location

224 W Henrietta Ave
Oceanside, NY 11572-5054

Mailing address

224 W Henrietta Ave
Oceanside, NY 11572-5054
Phone (718) 338-7878

Other practice location 1

5955 47th Ave
Woodside, NY 11377-5668
Phone (718) 426-6400

Other identifiers 15

IdentifierTypeStateIssuer
112613550OtherNYUNITED HEALTH CARE
112613550OtherNY1199 HEALTH CARE
DS511OtherNYOXFORD HEALTH PLANS
00697145MedicaidNY
112613550OtherALFAMILY HEALTH PLUS
003251-NYOtherNY1199 SEIU HOSPITAL & HEAL
112613550OtherNYAETNA
293460201OtherNYHEALTH PLUS
3C5835OtherNYHEALTH NET ID
78559OtherNYGHI
N003251-A69OtherNYHEALTH PLUS Q 1199 HOMECA
293460101OtherNYHEALTH PLUS
003251-NYOtherNY1199 NBF HOME HEALTH
112613550OtherNYCIGNA HEALTH PLANS
137254OtherNYUNITED HEALTH CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1851333827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 W HENRIETTA AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725054",
            "telephone_number": "718-338-7878",
            "fax_number": "718-338-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 W HENRIETTA AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725054",
            "telephone_number": "516-457-6959",
            "fax_number": "347-382-9388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5955 47th Ave",
            "address_purpose": "LOCATION",
            "city": "Woodside",
            "state": "NY",
            "postal_code": "113775668",
            "country_code": "US",
            "telephone_number": "718-426-6400",
            "fax_number": "718-803-3808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KESSELMAN",
        "first_name": "PAUL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "003251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "112613550",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1199 HEALTH CARE",
            "identifier": "112613550",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "DS511",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00697145",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY HEALTH PLUS",
            "identifier": "112613550",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1199 SEIU HOSPITAL & HEAL",
            "identifier": "003251-NY",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "112613550",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH  PLUS",
            "identifier": "293460201",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET ID",
            "identifier": "3C5835",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "78559",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS Q 1199 HOMECA",
            "identifier": "N003251-A69",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "293460101",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1199  NBF HOME HEALTH",
            "identifier": "003251-NY",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTH PLANS",
            "identifier": "112613550",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "137254",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, NY

Sources for this page

Verify at the official NPI Registry.