| Dr Kenneth Charles Nisch, MD | |
|
118 North Bedford Road, Suite 200, Mt. Kisco, NY 10549-2555 | |
| (800) 362-6220 | |
| Not Available |
| Full Name | Dr Kenneth Charles Nisch |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 20 Years |
| Location | 118 North Bedford Road, Mt. Kisco, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154556801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 244447 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St John's Riverside Hospital | Yonkers, NY | Hospital |
| Nyack Hospital | Nyack, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Shore - Lij Anesthesiology, Pc | 1153602453 | 937 |
| Entity Name | North Shore - Lij Anesthesiology, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417401266 PECOS PAC ID: 1153602453 Enrollment ID: O20161228001498 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Charles Nisch, MD 609 Jefferson St., Apt. 3c, Hoboken, NJ 07030 Ph: (908) 917-7838 | Dr Kenneth Charles Nisch, MD 118 North Bedford Road, Suite 200, Mt. Kisco, NY 10549-2555 Ph: (800) 362-6220 |
Rafael Z Axen, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 34 South Bedford Road, Mt. Kisco, NY 10549 Phone: 914-244-6789 Fax: 914-242-1516 | |
Doreen L Wray Roth, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 34 S Bedford Rd, The Ambulatory Surgery Center Of Westchester, Mt. Kisco, NY 10549 Phone: 914-244-6789 Fax: 914-242-1516 | |
Hoshang J Khambatta, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: Bedford Anesthesia, Pllc, 34 South Bedford Road, Mt. Kisco, NY 10549 Phone: 914-244-6789 Fax: 914-242-1516 |