Active NPI
Seth P Kravitz, MD
- Pediatrics Physician
- Poughkeepsie, NY
National Provider Identifier
1053407338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G5268
- Practice address
- 104 Fulton Ave
Poughkeepsie, NY 12603-2808 - Phone
- (845) 790-6918
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G5268 | TX | Primary |
Addresses
Primary practice location
104 Fulton Ave
Poughkeepsie, NY 12603-2808
Mailing address
104 Fulton Ave
Poughkeepsie, NY 12603-2808
Phone (845) 790-6718
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134008502 | Medicaid | TX | |
| 134008509 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Chiropractic and Wellness P.L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- League City, TX
- NPI 1972750719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510531200000",
"number": "1053407338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 FULTON AVE",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126032808",
"telephone_number": "845-790-6718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 FULTON AVE",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126032808",
"telephone_number": "845-790-6918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAVITZ",
"first_name": "SETH",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2017-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "G5268",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "134008502",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "134008509",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.