Kendall Stewart DPM, PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

03320 Issued in NY

Legal business name

KENDALL STEWART DPM, PC

Practice address

4016 Church Ave
Brooklyn, NY 11203-2917

Phone

(718) 284-3982

Fax

(718) 284-2881

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kendall Basil Stewart, DPM

Title

Director

Phone

(718) 284-3982

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1891853578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032917",
            "telephone_number": "718-284-3982",
            "fax_number": "718-284-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032917",
            "telephone_number": "718-284-3982",
            "fax_number": "718-284-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDALL STEWART DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_middle_name": "BASIL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-284-3982",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "03320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0083119",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00645381",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adva Kenan
• Sally Kenawy, M.D.
• Kenbar Enterprizes Inc
• Sarah Kencel
• Rachel Kendal
• Kikelomo Kendall
• Helene P Kendler, L.C.S.W.
• Calvin Clarence Kendrick
• Tenerian Woldegiorgis Kenea, MD
• Kenefick Physical Therapy PLLC

• Foot & Ankle Surgery Podiatrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.