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KENNETH J HIGGINS MD
NPI 1780625426
Pediatrics in New Hyde Park, NY

Active since June 10, 2006PECOS Enrolled
1991 MARCUS AVE, NEW HYDE PARK, NY 11042(516) 354-1600(516) 941-4672 Get Directions Write a Review

NPPES record last updated: September 12, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 12, 2019, Nov 10, 2017 (2 updates tracked since 2017).

About Kenneth J Higgins Md NPPES

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

KENNETH J HIGGINS MD (NPI 1780625426) is an individual pediatrics provider in New Hyde Park, New York, licensed in New York (150046) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780625426
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameKENNETH J HIGGINSCredential: MD
Location Address1991 MARCUS AVENew Hyde Park, NY 11042-2057
Mailing Address55 Water St, 2nd Floor Cred DeptNew York, NY 10041-0004 · (646) 680-2888 · Fax (516) 542-5556
Phone(516) 354-1600
Fax(516) 941-4672
Sole ProprietorNo
Enumeration DateJune 10, 2006
Last NPPES UpdateSeptember 12, 20192 updates tracked since enumeration
✔ NPI 1780625426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 150046
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1991 MARCUS AVE, New Hyde Park, NY 11042
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Other Identifiers 1

Medicaid01723739NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth J Higgins Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

BOB CHANG
Physical Therapist
1991 MARCUS AVE
NEW HYDE PARK, NY 11042
Nassau County (516) 467-8730
CARYLANN HADJIYANE M.D.
Internal Medicine (Gastroenterology)
1991 MARCUS AVE, SUITE 101
NEW HYDE PARK, NY 11042
Nassau County (516) 365-4949
NINA SKARIA NP
Pediatrics (Pediatric Rheumatology)
1991 MARCUS AVE
NEW HYDE PARK, NY 11042
Nassau County (516) 472-3700
JOAN STERRETT LMSW
Social Worker
1991 MARCUS AVE, M201
NEW HYDE PARK, NY 11042
Nassau County (718) 484-5000
MRS. JESSICA MARIE MENNELLA AGPCNP-C
Nurse Practitioner (Adult Health)
1991 MARCUS AVE
NEW HYDE PARK, NY 11042
Nassau County (646) 680-4081
EUGENE S BONAPACE JR. M.D.
Internal Medicine (Gastroenterology)
1991 MARCUS AVE, SUITE 101
NEW HYDE PARK, NY 11042
Nassau County (516) 365-4949
DR. TONI WEBSTER D.O.
Student in an Organized Health Care Education/Training Program
1991 MARCUS AVE, M100
LAKE SUCCESS, NY 11042
Nassau County (516) 472-3650
DR. REENA LOONA MD
Internal Medicine
1991 MARCUS AVE
NEW HYDE PARK, NY 11042
Nassau County (516) 354-1600

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 Higgins's NPI number?

The NPI number for Kenneth Higgins is 1780625426. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Where is Kenneth Higgins located?

Kenneth Higgins practices at 1991 Marcus Ave, New Hyde Park, NY 11042. The listed phone number is (516) 354-1600.

What is Kenneth Higgins's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kenneth Higgins enrolled in Medicare?

Yes. Kenneth Higgins is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Higgins was last updated on September 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.