Individual provider Active NPI

Chrispin Kambili, MD

  • Infectious Disease Physician
  • Jackson Heights, NY
National Provider Identifier
1053560649
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
2060061 Issued in NY
Practice address
34-33 Junction Blvd
Corona Chest Center FL2
Jackson Heights, NY 11372-3828
Phone
(718) 396-5134
NPI assigned
Sep 18, 2008
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 2060061 NY Primary

Addresses

Primary practice location

34-33 Junction Blvd
Corona Chest Center FL2
Jackson Heights, NY 11372-3828

Mailing address

42-09 28TH Street
CN-48
Long Island City, NY 11101-4132
Phone (347) 396-6299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040417000292 NY Practitioner - Internal Medicine 4385639525 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2060061NYMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of New York Office of Payroll Administration CurrentSince Jan 1, 2023 Accepting new patients
City of New York Office of Payroll Administration CurrentSince Jan 1, 2023 Accepting new patients
City of New York Office of Payroll Administration Current Accepting new patients
City of New York Office of Payroll Administration Past Accepting new patients
City of New York Office of Payroll Administration Past Accepting new patients
City of New York Office of Payroll Administration Past Accepting new patients
City of New York Office of Payroll Administration Past Accepting new patients
City of New York Office of Payroll Administration Past Accepting new patients

Locations

1309 Fulton Ave
Bronx, NY 10456
Phone (718) 566-3587

1826 Arthur Ave
Bronx, NY 10457
Phone (718) 466-8881

1218 Prospect Pl
#M
Brooklyn, NY 11213
Phone (718) 953-8208

259 Bristol St
Brooklyn, NY 11212
Phone (718) 345-5000

295 Flatbush Avenue Ext
Brooklyn, NY 11201
Phone (212) 566-3587

335 Central Ave
Fl 2
Brooklyn, NY 11221
Phone (718) 443-9300

485 Throop Ave
Brooklyn, NY 11221
Phone (718) 574-2462

3433 Junction Blvd
Jackson Heights, NY 11372
Phone (718) 334-6150

3433 Junction Blvd
Fl 2
Jackson Heights, NY 11372
Phone (718) 396-5134

9037 Parsons Blvd
Jamaica, NY 11432
Phone (718) 262-5521

4209 28th St
#15111
Long Island City, NY 11101
Phone (347) 396-4853

4209 28th St
#48
Long Island City, NY 11101
Phone (347) 396-6234

2238 5th Ave
New York, NY 10037
Phone (646) 698-4405

303 9th Ave
Lowr
New York, NY 10001

303 9th Ave
Lowr Manh
New York, NY 10001
Phone (212) 566-3587

600 W 168th St
New York, NY 10032
Phone (212) 566-3587

51 Stuyvesant Pl
Staten Island, NY 10301
Phone (718) 815-1647

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1053560649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42-09 28TH STREET",
            "address_2": "CN-48",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014132",
            "telephone_number": "347-396-6299",
            "fax_number": "347-396-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34-33 JUNCTION BLVD",
            "address_2": "CORONA CHEST CENTER FL2",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113723828",
            "telephone_number": "718-396-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMBILI",
        "first_name": "CHRISPIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-18",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "2060061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.