1720062326 NPI number — DR. NEIL BARRY KIRSCHEN MD

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720062326 NPI number — DR. NEIL BARRY KIRSCHEN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KIRSCHEN
Provider First Name:
NEIL
Provider Middle Name:
BARRY
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1720062326
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/16/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
77 NORTH CENTRE AVE
Provider Second Line Business Mailing Address:
SUITE 202
Provider Business Mailing Address City Name:
ROCKVILLE CENTRE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11570
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-764-7246
Provider Business Mailing Address Fax Number:
516-678-3525

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
77 NORTH CENTRE AVE
Provider Second Line Business Practice Location Address:
SUITE 202
Provider Business Practice Location Address City Name:
ROCKVILLE CENTRE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11570
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-764-7246
Provider Business Practice Location Address Fax Number:
516-678-3525
Provider Enumeration Date:
12/06/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X , with the licence number:  1527711 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207LP2900X , with the licence number: 1527711 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 112999600 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 72D781 . This is a "MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: P3291435 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 112999600 . This is a "MULTIPLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 87248 . This is a "GHI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 8799819 . This is a "GHI PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: CM0035 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 118077 . This is a "VYTRA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 112999600 . This is a "MDNY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5813851 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 01631305 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 112999600 . This is a "HORIZON" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4C9360 . This is a "PHS HEALTHNET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 112999600 . This is a "EMPIRE PLAN GVT" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3B0261 . This is a "BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 112999600 . This is a "MAGNACARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: P620959 . This is a "OXFORD ALT MED" identifier . This identifiers is of the category "OTHER".




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