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

Individual provider Pediatrics Physician · NPI 1245765817

Kenneth Tietjen, MD is a Pediatrics Physician in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2017
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

2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone: (718) 616-3205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 307219 (NY)

Record details

NPI number1245765817
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 20, 2017
Last updated in NPPESAugust 25, 2021
Certification dateAugust 25, 2021
Mailing address2601 Ocean Pkwy Rm 901, Brooklyn, NY 11235-7745

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