Frederic Kalenscher, M.D.,F.A.A.P.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

170656-1 Issued in NY

Practice address

532 Broadway
Massapequa, NY 11758-5004

Phone

(516) 798-3090

Fax

(516) 798-1195

NPI assigned

May 10, 2006

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

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: Yes
• 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

Interoperability endpoints

• Direct secure messaging: frederickalenscher@nslijmedgr.allscriptsdirect.net
• Direct secure messaging: frederickalenscher@fk.allscriptsdirect.net

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.

• North Shore-Lij Medical PC

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  Medicare reassignment NPD
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  • NPI 1790043479
  NPD

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1851341127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585004",
            "telephone_number": "516-798-3090",
            "fax_number": "516-798-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585004",
            "telephone_number": "516-798-3090",
            "fax_number": "516-798-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALENSCHER",
        "first_name": "FREDERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.,F.A.A.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "170656-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Manis Psychiatric NP PLLC
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• Amy Kachinas
• Richard William Kaden, D.D.S.
• Maureen Kaley, PHD
• Marian Kamath, M.D.
• Stephanie Kamel
• Christina Maria Kamme, PT
• Kathleen Kane-Coletta, L.C.S.W.

• Pediatric Adolescent Medicine Physician in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Pediatric Adolescent Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.