KENDALL STEWART DPM NPI 1023289337

NPI Information

NPI: 1023289337
Provider Name: KENDALL STEWART, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
4016 CHURCH AVE
BROOKLYN, NY
ZIP 11203
Phone: (718) 284-3982
Get Directions

Kendall Stewart, DPM is a foot and ankle surgery podiatrist in Brooklyn, NY. Kendall Stewart, DPM NPI is 1023289337. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4016 CHURCH AVE
BROOKLYN, NY
ZIP 11203-917
Phone: (718) 284-3982
Fax: (718) 284-2881

The NPI 1023289337 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 3/13/2008 and was last updated on 5/28/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	N003320-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0083119	OTHER	NEW YORK	GHI
2	T32125	MEDICARE UPIN	NEW YORK
3	00645381	MEDICAID	NEW YORK
4	P35101	MEDICARE PIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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