KENNETH A HIRSCH


Address: 75 N Country Rd, Port Jefferson, NY 11777-2119
Phone: 6314762808

KENNETH A HIRSCH (NPI# 1972618296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972618296
Entity Type Individual
Full Name KENNETH A HIRSCH
Credential MD
Practice Address 75 N Country Rd
Port Jefferson
NY 11777-2119
Mailing Address 107 Old Field Rd
Setauket
NY 11733-1639
Practice Telephone 6314762808
Enumeration Date 2006-08-19
Last Update Date 2008-03-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
148992 NY Allopathic & Osteopathic Physicians
N 207PE0005X Emergency Medicine
Specialization: Undersea and Hyperbaric Medicine
148992 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 01175704 05
NY STATE LICENSE 148992 01

Other Providers KENNETH HIRSCH

NPI Name Taxonomy Address Enumeration
1811230592 Kenneth Donald Hirsch Pathology 25 Tam O Shanter Rd, Alamo, CA 94507-1737 2013-04-01
1871591362 Kenneth Alan Hirsch Specialist Naval Health Clinic Pearl Harbor, Pearl Harbor, HI 96860 2005-07-08
1023015880 Kenneth Michael Hirsch Pediatrics 25 Homestead Dr, Ste H, Columbus, NJ 08022-1005 2005-07-07
1548447493 Kenneth H Hirsch Dentist 2870 Hempstead Tpke, Suite 106, Levittown, NY 11756 2008-01-23
1851484109 Kenneth Robert Hirsch Dentist 6325 Topanga Canyon Blvd, Suite 322, Woodland Hills, CA 91367-2006 2006-10-01

Office Location

Street Address 75 N COUNTRY RD
City PORT JEFFERSON
State NY
Zip Code 11777-2119

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093718728 John T. Mather Memorial Hospital Psychiatric Unit 75 N Country Rd, Port Jefferson, NY 11777-2119 2005-05-27
1124633169 Ewelina Mieczkowska Physician Assistant 75 N Country Rd, Port Jefferson, NY 11777-2119 2020-09-15
1114546652 Kelly Miller Registered Nurse 75 N Country Rd, Port Jefferson, NY 11777-2119 2020-04-14
1194344143 John Lotfi Student in an Organized Health Care Education/Training Program 75 N Country Rd, Port Jefferson, NY 11777-2119 2020-04-10
1669001897 Robert Franklin Wilson Student in an Organized Health Care Education/Training Program 75 N Country Rd, Port Jefferson, NY 11777-2119 2020-04-08
1245868611 Tia Bimal Student in an Organized Health Care Education/Training Program 75 N Country Rd, Port Jefferson, NY 11777-2119 2020-03-31
1427686203 Aakash Babaria Student in an Organized Health Care Education/Training Program 75 N Country Rd, Port Jefferson, NY 11777-2119 2020-03-29
1821626789 Anjali Kewalramani Student in an Organized Health Care Education/Training Program 75 N Country Rd, Port Jefferson, NY 11777-2119 2020-03-27
1578190591 Joon Oh Student in an Organized Health Care Education/Training Program 75 N Country Rd, Port Jefferson, NY 11777-2190 2020-03-27
1871121848 Sonali Nanda Student in an Organized Health Care Education/Training Program 75 N Country Rd, Port Jefferson, NY 11777-2119 2020-03-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568088615 Aqsa Ashraf Student in an Organized Health Care Education/Training Program 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 2020-06-24
1366068975 Manal Ahmad Student in an Organized Health Care Education/Training Program 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 2020-06-19
1639794555 Umair Ahmad Ansari Student in an Organized Health Care Education/Training Program 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 2020-06-16
1578188132 Manasi Sule Student in an Organized Health Care Education/Training Program 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 2020-06-10
1508480716 Imona Subedi Student in an Organized Health Care Education/Training Program 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 2020-06-03
1184252108 Romana Imtiaz Syed Student in an Organized Health Care Education/Training Program Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 2020-03-27
1649807348 Mustafa Mohammed Abdulsada Student in an Organized Health Care Education/Training Program 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 2020-03-24
1184264764 Girma Moges Gamme Surgery 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 2020-01-10
1811554637 Kausar Ali Nurse Practitioner 408 Thompson Street, Port Jefferson, NY 11777 2019-05-28
1073097531 Ministry for Hope, Inc. Montfort Therapeutic Residence Residential Treatment Facility, Physical Disabilities 100 Stonyhill Road, Port Jefferson, NY 11777 2018-09-20
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Taxonomy Information

Taxonomy Code 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1588129852 Steve Lazo Emergency Medicine 3210 Greenpoint Ave, Long Island City, NY 11101-2010 2019-01-31
1730667734 Lagrange Fire District Emergency Medicine 504 Freedom Plains Road, Poughkeepsie, NY 12603-2678 2018-08-01
1407217631 Debonotropepamdpc Emergency Medicine 24 Charter Ave, Dix Hills, NY 11746-6447 2016-03-16
1699013946 Medfirst Urgent Care Emergency Medicine 1751 Sheridan Dr, Tonawanda, NY 14223 2013-01-22
1356689855 Medfirst Urgent Care, Pllc Emergency Medicine 3190 Niagara Falls Blvd, Amherst, NY 14228-1639 2013-01-18
1821341744 Stat Medical Usa Emergency Medicine 1943 Vincent Ln, Syosset, NY 11791-9629 2012-10-16
1104132190 Kildare Clarke Emergency Medicine 6 Hazelton Dr, White Plains, NY 10605-3805 2010-08-27
1659682219 Mark Kenneth Ellis Emergency Medicine 2 5th Ave Apt 2d, New York, NY 10011-8832 2010-06-29
1497076806 Jose Luis Romero Emergency Medicine 3636 Waldo Ave Apt 4n, Bronx, NY 10463-2256 2010-06-21
1619109121 Matthew J. Krauthamer Emergency Medicine 16 Capri Ct, Dix Hills, NY 11746-6410 2009-08-17
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Competitor

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City PORT JEFFERSON
Zip Code 11777

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Dataset Information

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.

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