Dr. Kalpesh S Amin
Internal Medicine (Cardiovascular Disease)

Address: 6911 Forest Ave, Ridgewood, NY 11385-4457
Phone: 7184978419

Dr. Kalpesh S Amin (NPI# 1003911645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1003911645
Entity Type Individual
Full Name Dr. Kalpesh S Amin
Credential M.D.
Gender Male
Practice Address 6911 Forest Ave
Ridgewood
NY 11385-4457
Practice Telephone 7184978419
Practice Fax Number 7183863522
Mailing Address 1 Turf Ln
Roslyn Heights
NY 11577-2713
Mailing Telephone 7184978419
Mailing Fax Number 7183863522
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2006-09-14
Last Update Date 2011-09-27

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 207R00000X Internal Medicine Allopathic & Osteopathic Physicians 193962 NY
Yes 207RC0000X Internal Medicine · Cardiovascular Disease Allopathic & Osteopathic Physicians 193962 NY

Other Provider Identifier

State Identifier Issuer Type Code
NY 01644311 MEDICAID

Physician Overview

NPI 1003911645
PAC ID by PECOS 0042296766
Professional Enrollment ID I20040624001442
Full Name Kalpesh S Amin
Phone Number 7184978419
Gender M
Credential MD
Graduation Year 1989
Primary Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
Secondary Specialties INTERNAL MEDICINE
Accepts Medicare Assignment Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330195 NS/LIJ HS LONG ISLAND JEWISH MEDICAL CENTER
330106 NS/LIJ HS-NORTH SHORE UNIVERSITY HOSPITAL AT MANHASSET

Office Location

Street Address 6911 FOREST AVE
City RIDGEWOOD
State NY
Zip Code 11385-4457

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164929584 Carmen E. Vidal Case Manager/Care Coordinator 61-06 Metropolitan Ave., Ridgewood, NY 11385 2018-04-11
1467955385 Avchemists LLC Pharmacy 68-28 Myrtle Ave, Glendale, NY 11385 2018-03-16
1477069185 Selena Delgado Behavior Technician 64-07 Cooper Avenue, Glendale, NY 11385 2017-12-18
1851806913 Myrtle Medical Equipment Inc Durable Medical Equipment & Medical Supplies 7933 Myrtle Ave, Flushing, NY 11385 2017-12-11
1104345727 Suzanne Eng Counselor 1080 Wykoff Ave., Suite D4, Ridgewood, NY 11385 2017-09-14
1588183339 Geri P Services Inc. Early Intervention Provider Agency 5938 Gates Ave, Ridgewood, NY 11385 2017-09-13
1922523935 Kristen Michele Spang Speech-Language Pathologist 79-56 77th Road, Glendale, NY 11385 2017-08-10
1386167005 Kristen Naletilic Behavior Technician 1835 Summerfield Street, Ridgewood, NY 11385 2017-07-25
1346760857 Holly Labus Speech-Language Pathologist 1651 Summerfield St Apt 1a, Ridgewood, NY 11385 2017-06-26
1417491564 Lyubov Kimyagarov Speech-Language Pathologist 59-09 St.felix Ave, Ridgewood, NY 11385 2016-12-08
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588093470 Optimum Heart Associates Pllc Internal Medicine 66-22 Fresh Pond Rd, Ridgewood, NY 11385 2013-11-01
1336305846 Jayant Shreepad Kirtane Internal Medicine 234 N Van Dien Ave, Ridgewood, NJ 07450-2727 2008-08-04
1679739551 Amgad Emeal Botros Internal Medicine 1930 Grove St, 3l, Ridgewood, NY 11385-2342 2008-07-31
1912044926 Brooklyn Nuclear Spect Imjaging, PC Internal Medicine 6414 Myrtle Ave, Ridgewood, NY 11385 2007-01-31
1588620199 John Alexander Co Internal Medicine 140 Chestnut St, Suite 202, Ridgewood, NJ 07450-2599 2006-04-22
1134192552 Gerald Sotsky Internal Medicine 1200 E. Ridgewood Avenue, Ridgewood, NJ 07450 2006-02-08
1326047572 Robert Saporito,jr Internal Medicine 1124 E Ridgewood Ave, Ste 202, Ridgewood, NJ 07450-3915 2005-07-19
1316943483 Dennis S Reison Internal Medicine 1200 East Ridgewood Avenue, Ridgewood, NJ 07450 2005-06-23
1457626558 Valley Physician Services, Ny, PC Internal Medicine 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 2012-03-21
1336448497 John A. Co, Md, LLC Internal Medicine 140 Chestnut St, Suite 202, Ridgewood, NJ 07450-2562 2011-03-15
Find all providers in RIDGEWOOD

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City RIDGEWOOD
Zip Code 11385

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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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