Active NPI
Paul A Kesselman, DPM
- Foot & Ankle Surgery Podiatrist
- Oceanside, NY
National Provider Identifier
1851333827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 003251
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112613550 | Other | NY | UNITED HEALTH CARE |
| 112613550 | Other | NY | 1199 HEALTH CARE |
| DS511 | Other | NY | OXFORD HEALTH PLANS |
| 00697145 | Medicaid | NY | |
| 112613550 | Other | AL | FAMILY HEALTH PLUS |
| 003251-NY | Other | NY | 1199 SEIU HOSPITAL & HEAL |
| 112613550 | Other | NY | AETNA |
| 293460201 | Other | NY | HEALTH PLUS |
| 3C5835 | Other | NY | HEALTH NET ID |
| 78559 | Other | NY | GHI |
| N003251-A69 | Other | NY | HEALTH PLUS Q 1199 HOMECA |
| 293460101 | Other | NY | HEALTH PLUS |
| 003251-NY | Other | NY | 1199 NBF HOME HEALTH |
| 112613550 | Other | NY | CIGNA HEALTH PLANS |
| 137254 | Other | NY | UNITED 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
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.
-
- Foot & Ankle Surgery Podiatrist
- Brooklyn, NY
- NPI 1396927372
-
- Foot & Ankle Surgery Podiatrist
- Brooklyn, NY
- NPI 1508011248
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.