Individual provider Active NPI

Theodora Kay-Njemanze, D.O

  • Family Medicine Physician
  • Hewlett, NY
National Provider Identifier
1891974176
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
233419 Issued in NY
Practice address
1245 Hewlett PLZ
Hewlett, NY 11557-4000
Phone
(516) 000-0000
NPI assigned
Nov 2, 2007
Last updated
Mar 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 233419 NY Primary

Addresses

Primary practice location

1245 Hewlett PLZ
Hewlett, NY 11557-4000

Mailing address

PO Box 124
Hewlett, NY 11557-0124

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20131211000620 NY Practitioner - Family Practice 1850536533 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
233419NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Mar 13, 2015 Accepting new patients
Ahava Medical and Rehabilitation Center, LLC CurrentSince May 1, 2013 Accepting new patients
Montefiore Medical Center CurrentSince Mar 13, 2015 Accepting new patients
Acld Kramer Learning Center Past Accepting new patients

Locations

730 Brook Ave
Bronx, NY 10455
Phone (718) 484-1247

111 E 210th St
Bronx, NY 10467

2555 Nostrand Ave
Brooklyn, NY 11210
Phone 7189518800108

Organizations & group practices 4

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": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427068800000",
    "number": "1891974176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 124",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115570124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 HEWLETT PLZ",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115574000",
            "telephone_number": "516-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAY-NJEMANZE",
        "first_name": "THEODORA",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-02",
        "last_updated": "2015-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "233419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hewlett, NY

Sources for this page

Verify at the official NPI Registry.