Kingsway Anesthesia PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

218701 Issued in NY

Legal business name

KINGSWAY ANESTHESIA PC

Practice address

55 Montgomery St
Poughkeepsie, NY 12601-4106

Phone

(845) 471-1354

Fax

(845) 689-0610

NPI assigned

Dec 23, 2013

Last updated

Nov 30, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lazar Popilevsky, M.D.NPI 1568474021

Title

Ceo

Phone

(646) 623-4140

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lazar Popilevsky, MD

  • Anesthesiology Physician
  • New York, NY
  • NPI 1568474021
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417305600000",
    "number": "1861813586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 KINGS HWY",
            "address_2": "SUITE #3D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141525",
            "telephone_number": "646-623-4140",
            "fax_number": "718-331-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MONTGOMERY ST",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014106",
            "telephone_number": "845-471-1354",
            "fax_number": "845-689-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSWAY ANESTHESIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-23",
        "last_updated": "2014-11-30",
        "status": "A",
        "authorized_official_last_name": "POPILEVSKY",
        "authorized_official_first_name": "LAZAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-623-4140",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "218701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel W Kim, MD
• Su Yeon Kim, M.D.
• Mackenzie Shea Kimball, DO, MS
• Ricardo King
• Roy King
• Kiana Kipp
• Cassandra Kirk
• Michael Christian Kirpan, M.D.
• Kurt C. Kish, D.C.
• Joann R Klein, LCSW

• Anesthesiology Physician in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2014; 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.