Individual provider Active NPI

Longkat Kesmen

  • Physician Assistant
  • Bronx, NY
National Provider Identifier
1962657981
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
012765 Issued in NY
Practice address
578 E 163Rd St Apt 2a
Bronx, NY 10456-7240
Phone
(718) 292-4054
NPI assigned
Nov 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 012765 NY Primary

Addresses

Primary practice location

578 E 163Rd St Apt 2a
Bronx, NY 10456-7240

Mailing address

578 E 163Rd St Apt 2a
Bronx, NY 10456-7240
Phone (718) 292-4054

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090324000346 NY Practitioner - Physician Assistant 8123185865 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
012765NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Columbia University in the City of New York CurrentSince May 26, 2019 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Jul 11, 2024 Accepting new patients
Trustees of Columbia University in the City of New York Physician Assistant CurrentSince May 26, 2019 Accepting new patients
Montefiore Medical Center CurrentSince Jan 23, 2017 Accepting new patients
Montefiore Medical Center CurrentSince Jan 23, 2017 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: lkesmen667488@nyumc.direct-ci.com
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226966400000",
    "number": "1962657981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "578 E 163RD ST APT 2A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104567240",
            "telephone_number": "718-292-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "578 E 163RD ST APT 2A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104567240",
            "telephone_number": "718-292-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESMEN",
        "first_name": "LONGKAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "012765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.