DR. KENNETH WORTMAN MD
NPI 1114900370
Obstetrics & Gynecology in Staten Island, NY

Q: What is Kenneth Wortman's NPI number?

The NPI number for Kenneth Wortman is 1114900370. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Q: What is Kenneth Wortman's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Wortman was last updated on June 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 22, 2005

440 SEAVIEW AVE, STATEN ISLAND, NY 10305(718) 226-6550 Get Directions Write a Review

NPPES record last updated: June 10, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kenneth Wortman Md NPPES

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

DR. KENNETH WORTMAN MD (NPI 1114900370) is an individual obstetrics & gynecology provider in Staten Island, New York, licensed in New York (121285) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1114900370

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. KENNETH WORTMANCredential: MD

Location Address440 SEAVIEW AVEStaten Island, NY 10305-3401

Mailing Address1 Edgewater St, Suite 723Staten Island, NY 10305-4900 · (718) 226-1008 · Fax (718) 226-1039

Phone(718) 226-6550

Sole ProprietorNo

Enumeration DateNovember 22, 2005

Last NPPES UpdateJune 10, 2008

✔ NPI 1114900370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in NY · 121285

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

440 SEAVIEW AVE, Staten Island, NY 10305

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Other Identifiers 3

Medicare PIN317221NY

Medicare UPINB12829NY

Medicaid00995395NY

Other Providers at the Same Location NPPES 9

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

RENEE CIAFFONE-BOLUSI

Physical Therapist