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CHARLES P KIMMELMAN MD FACS PC NPI 1386811479


NPI Information

NPI: 1386811479
Provider Name: CHARLES P KIMMELMAN MD FACS PC

Former Legal Business Name: CHARLES P KIMMELMAN MD FACS PC

Classification: Otolaryngology - 207YS0012X
Entity Type: Organization

Specialization: Sleep Medicine

CLIA Number: 33D2268940

Address:
993 PARK AVE
STE C
NEW YORK, NY
ZIP 10028
Phone: (212) 717-7262
Get Directions

CHARLES P KIMMELMAN MD FACS PC is a sleep medicine otolaryngology in New York, NY. The provider is an Otolaryngologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. CHARLES P KIMMELMAN MD FACS PC NPI is 1386811479. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Charles P Kimmelman Md Facs Pc.

The provider's business location address is:

993 PARK AVE
STE C
NEW YORK, NY
ZIP 10028-809
Phone: (212) 717-7262
Fax: (212) 717-1307

The provider's authorized official is Charles Paul Kimmelman .
The authorized official title is President and has the following contact phone number (212) 717-7262.

The CLIA number assigned to this NPI record is 33D2268940 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/8/2008 and was last updated on 11/4/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207YS0012XOtolaryngologySleep MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1165440OTHERNEW YORKNYS LICENSE
263D721MEDICARE PINNEW YORK
3A63549MEDICARE UPINNEW YORK
4WYTXP1OTHERNEW YORKORGANIZATIONAL PTAN

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

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