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

Dr. Kenneth Wortman, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1114900370

Dr. Kenneth Wortman, MD is an Obstetrics & Gynecology Physician in Staten Island, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

440 Seaview Ave
Staten Island, NY 10305-3401
Phone: (718) 226-6550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 121285 (NY)

Record details

NPI number1114900370
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 22, 2005
Last updated in NPPESJune 10, 2008

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