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JEFFREY THOMAS KNEMOLLER DPM
NPI 1710018007
Podiatrist - Primary Podiatric Medicine in Staten Island, NY

Active since March 08, 2007PECOS Enrolled
38 BENT ST, STATEN ISLAND, NY 10312(732) 690-5634(732) 873-9114 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 13, 2026, Jul 25, 2024, Nov 19, 2020 and 1 more (4 updates tracked since 2018).

About Jeffrey Thomas Knemoller Dpm NPPES

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

JEFFREY THOMAS KNEMOLLER DPM (NPI 1710018007) is an individual primary podiatric medicine provider in Staten Island, New York, licensed in New York (N005784-01) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710018007
Entity TypeIndividualMale
Primary Taxonomy213EP1101X
Provider Legal NameJEFFREY THOMAS KNEMOLLERCredential: DPM
Location Address38 BENT STStaten Island, NY 10312-3702
Mailing Address38 Bent StStaten Island, NY 10312-3702 · (732) 690-5634 · Fax (732) 873-9114
Phone(732) 690-5634
Fax(732) 873-9114
Sole ProprietorNo
Enumeration DateMarch 8, 2007
Last NPPES UpdateJuly 13, 20264 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1710018007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License✔ Licensed in NY · N005784-01
38 BENT ST, Staten Island, NY 10312
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey Thomas Knemoller Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Jeffrey Knemoller's NPI number?

The NPI number for Jeffrey Knemoller is 1710018007. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is Jeffrey Knemoller located?

Jeffrey Knemoller practices at 38 Bent St, Staten Island, NY 10312. The listed phone number is (732) 690-5634.

What is Jeffrey Knemoller's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Is Jeffrey Knemoller enrolled in Medicare?

Yes. Jeffrey Knemoller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeffrey Knemoller was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.