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

Kenneth J Becker, MD

Individual provider Surgery Physician · NPI 1336104959

Kenneth J Becker, MD is a General Surgery in Freeport, New York. Graduated from State University of New York Downstate Medical Center in 1986, 40 years ago. Practices with North Shore Medical Group of the Mount Sinai School of Medicine, a 323-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
40
Trained at
State University of New York Downstate Medical Center
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

155 W Merrick Rd
Freeport, NY 11520-3743
Phone: (516) 546-2448
Fax: (516) 546-6069
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 181068 (NY)

Record details

NPI number1336104959
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 18, 2006
Last updated in NPPESOctober 8, 2021
Certification dateOctober 4, 2021
Mailing address155 W Merrick Rd, Freeport, NY 11520-3743

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 1986 (40 years in practice)
Group practice North Shore Medical Group Of The Mount Sinai School Of Medicine — 323 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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