MR. KENNETH MICHAEL PFEIFER (NPI# 1063712198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063712198 |
| Entity Type | Individual |
| Full Name | MR. KENNETH MICHAEL PFEIFER |
| Credential | PA |
| Practice Address |
270-05 76th Avenue Anesthesia Department New Hyde Park NY 11040 |
| Practice Telephone | 7184707390 |
| Practice Fax Number | 5164707307 |
| Mailing Telephone | 7184707390 |
| Mailing Fax Number | 5164707307 |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2010-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 002480 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 23-008853 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
270-05 76TH AVENUE ANESTHESIA DEPARTMENT |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427054659 | Craig Merola | Anesthesiology | 270-05 76th Avenue, Department of Anesthesia, New Hyde Park, NY 11040 | 2005-06-22 |
| 1124648530 | Ellen Pham | Student in an Organized Health Care Education/Training Program | 270-05 76th Avenue, Research Building C Level Room 039ab N, New Hyde Park, NY 11040 | 2020-04-26 |
| 1922637669 | Jasmin Neal | Student in an Organized Health Care Education/Training Program | 270-05 76th Avenue, Research Bldg, C Level Room 039ab, New Hyde Park, NY 11040 | 2020-04-04 |
| 1346803236 | Remi Minh Khang Le | Student in an Organized Health Care Education/Training Program | 270-05 76th Avenue, New Hyde Park, NY 11040 | 2019-04-17 |
| 1003378852 | Oliver Standring | Student in an Organized Health Care Education/Training Program | 270-05 76th Avenue, Victoria Wrathe, Research Building- C Level Room 039ab, New Hyde Park, NY 11040 | 2019-04-02 |
| 1306320080 | Tanya J Thakur | Physician Assistant | 270-05 76th Avenue, New Hyde Park, NY 11040 | 2018-09-19 |
| 1023513231 | Michael Quinn | Student in an Organized Health Care Education/Training Program | 270-05 76th Avenue, New Hyde Park, NY 11040 | 2018-03-28 |
| 1407350796 | Kristen Zaffuto | Registered Nurse | 270-05 76th Avenue, Oncology Building, New Hyde Park, NY 11040-1402 | 2018-03-21 |
| 1063950384 | Kason Wan | Physician Assistant | 270-05 76th Avenue, New Hyde Park, NY 11040-1402 | 2017-02-07 |
| 1275920720 | Jeffrey Deygoo | Student in an Organized Health Care Education/Training Program | 270-05 76th Avenue, New Hyde Park, NY 11040 | 2015-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366734 | Naurin Shaki | Case Management | 108 Bryant Ave, New Hyde Park, NY 11040 | 2020-11-04 |
| 1326645920 | Oksana Isakharov | Marriage & Family Therapist | Remote Telehealth Due To Pandemic, Remote Telehealth Due To Pandemic, NY 11040 | 2020-10-06 |
| 1639784036 | Michelle Edith Narain | Nurse Practitioner | 270-05 76th Aveune, New Hyde Park, NY 11040 | 2020-09-11 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1851929384 | Hollie Brown | Student in an Organized Health Care Education/Training Program | 45 Lakeville Rd Ste M41, New Hyde Park, NY 11040 | 2020-03-30 |
| 1780211797 | Miriam Tarrash | Student in an Organized Health Care Education/Training Program | Lijmc, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-03-27 |
| 1902438971 | Kristina Petrich | Student in an Organized Health Care Education/Training Program | Long Island Jewish Medical Center, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-02-07 |
| 1528622735 | David Olatunji Omole | Dentist | 270-05 76th Avenue Dept. of Dental Medicine / Oral And, Surgery New Hyde Park, Ny, Ny 11040, New Hyde Park, NY 11040 | 2019-04-24 |
| 1720642093 | Thanzina Chowdhury | Pharmacy | 271-11 76th Ave, Queens, NY 11040 | 2019-04-23 |
| 1427519834 | Connor William Crowley | Student in an Organized Health Care Education/Training Program | Office of Surgical Education Victoria M. Waithe, 270-05 76th Avenue. Research Bldg - C Level Room 039ab, New Hyde Park, NY 11040 | 2019-03-28 |
| Find all providers in zip 11040 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049355 | Gabriella Vazquez | Physician Assistant | 26912 Union Tpke, New Hyde Park, NY 11040-1535 | 2020-10-03 |
| 1255953519 | Ilana Vosk | Physician Assistant | 1 Dakota Dr Ste 320, New Hyde Park, NY 11042-1136 | 2020-05-09 |
| 1902430069 | Michael Brandon Roemer | Physician Assistant | 300 Bryn Mawr Rd, New Hyde Park, NY 11040-3509 | 2020-02-27 |
| 1295207314 | Frank Joseph Commisso | Physician Assistant | 1 Dakota Dr Ste 120, New Hyde Park, NY 11042-1136 | 2018-12-31 |
| 1891278883 | Christopher Deguzman Eslis | Physician Assistant | 545 N 1st St, New Hyde Park, NY 11040-2819 | 2018-09-14 |
| 1871040907 | Saumia Nair | Physician Assistant | 7629 270th St, New Hyde Park, NY 11040-1417 | 2016-09-07 |
| 1649637737 | Kelly Madden | Physician Assistant | 2800 Marcus Ave # 110, New Hyde Park, NY 11042-1113 | 2016-01-21 |
| 1275910747 | Priyanka Chandrakumar | Physician Assistant | 915 Hillside Avenue, New Hyde Park, NY 11040 | 2015-05-04 |
| 1871932038 | David Kolomer | Physician Assistant | 20 Farrel St, New Hyde Park, NY 11040-2408 | 2013-06-21 |
| 1598004582 | Manoj Modi | Physician Assistant | 2001 Marcus Ave Ste W170, New Hyde Park, NY 11042-2042 | 2013-02-11 |
| Find all providers in NEW HYDE PARK | ||||
| City | NEW HYDE PARK |
| Zip Code | 11040 |
Please comment or provide details below to improve the information on MR. KENNETH MICHAEL PFEIFER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.