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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. KENNETH H PETERSEL M.D.
NPI 1023085917
Internal Medicine in East Meadow, NY

Active since March 01, 2006
1617 FRONT ST, EAST MEADOW, NY 11554(516) 794-1330(516) 794-1531 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kenneth H Petersel M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH H PETERSEL M.D. (NPI 1023085917) is an individual internal medicine provider in East Meadow, New York, licensed in New York (137623) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1023085917
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. KENNETH H PETERSELCredential: M.D.
Location Address1617 FRONT STEast Meadow, NY 11554-2345
Mailing Address1617 Front StEast Meadow, NY 11554-2345 · (516) 794-1330
Phone(516) 794-1330
Fax(516) 794-1531
Sole ProprietorNo
Enumeration DateMarch 1, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1023085917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 137623
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1617 FRONT ST, East Meadow, NY 11554
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Other Identifiers 1

Medicaid00659389NY

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENNETH H PETERSEL MD PC
Internal Medicine
1617 FRONT ST
EAST MEADOW, NY 11554
Nassau County (516) 794-1330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Petersel's NPI number?

The NPI number for Kenneth Petersel is 1023085917. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Where is Kenneth Petersel located?

Kenneth Petersel practices at 1617 Front St, East Meadow, NY 11554. The listed phone number is (516) 794-1330.

What is Kenneth Petersel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Petersel was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.