Kevin Krenitsky, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

MD-069301-L Issued in PA

Practice address

60 Executive Blvd
Farmingdale, NY 11735-4710

Phone

(631) 755-5500

NPI assigned

Jul 30, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Enzo Clinical Labs, Inc.

  • Clinical Medical Laboratory
  • Farmingdale, NY
  • NPI 1235234402
  NPD (past)
• Enzo Clinical Labs, Inc.

  • Clinical Medical Laboratory
  • Shelton, CT
  • NPI 1568008118
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248912000000",
    "number": "1013148618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CEDAR ST",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022317",
            "telephone_number": "610-304-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 EXECUTIVE BLVD",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117354710",
            "telephone_number": "631-755-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRENITSKY",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-30",
        "last_updated": "2009-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "PA",
            "license": "MD-069301-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Elizabeth Konop, OTR/L
• Victoria Kornfeld
• Deidre Hope Kotsiopoulos
• Melisa Rose Kramer
• Jacqueline Rae Kreckel
• Kelly Krockel
• Nancy Kruger, M.S.
• KTK Mobility
• Loren Kuppelmeyer, MS,CCC/LSP
• Shiney Kurian, PHARM D

• Adult Medicine Physician in Farmingdale, NY
• Providers in Farmingdale, NY by specialty
• Adult Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.