Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kenneth Ackerman, MD

Individual provider Internal Medicine Physician · NPI 1033205265

Dr. Kenneth Ackerman, MD is an Internal Medicine in Great Neck, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 1988, 38 years ago. Practices with Optum Medical Care PC, a 1,018-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
38
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

277 Northern Blvd 3rd Fl
Great Neck, NY 11021-4703
Phone: (516) 829-7750
Fax: (516) 482-2644
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 1785851 (NY)

Record details

NPI number1033205265
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 5, 2006
Last updated in NPPESJuly 8, 2007
Mailing address6 Partridge Dr, Roslyn, NY 11576-2521

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 1988 (38 years in practice)
Group practice Optum Medical Care Pc — 1018 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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