Kenneth Tietjen, M.D.
NPI 1245765817 · Pediatrics Physician · Brooklyn, NY
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Tietjen, M.D. is a Pediatrics Physician provider in Brooklyn, NY (NPI 1245765817).
Provider details
- NPI number
- 1245765817
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 307219 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-04-20
- Last updated
- 2021-08-25
- Certified
- 2021-08-25
Frequently asked questions
- What is Kenneth Tietjen's NPI number?
- Kenneth Tietjen's National Provider Identifier (NPI) is 1245765817, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Tietjen's specialty?
- Kenneth Tietjen is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Kenneth Tietjen located?
- Kenneth Tietjen's practice location on file with NPPES is 2601 Ocean Pkwy, Brooklyn, NY 11235-7745.
- What is Kenneth Tietjen's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Tietjen is (718) 616-3205.
- Does Kenneth Tietjen accept Medicare?
- Kenneth Tietjen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Tietjen's NPI active?
- Yes — Kenneth Tietjen's NPI (1245765817) is active in the NPPES registry as of the last update on 2021-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.