Individual provider Active NPI

Karen J Dauksza

  • Specialist
  • New Windsor, NY
National Provider Identifier
1063757029
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
163312 Issued in NY
Practice address
9 Beaverbrook Rd
New Windsor, NY 12553-5910
Phone
(845) 325-7095
Fax
(845) 496-6607
NPI assigned
Dec 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Specialist 174400000X 163312 NY Primary

Addresses

Primary practice location

9 Beaverbrook Rd
New Windsor, NY 12553-5910

Mailing address

9 Beaverbrook Rd
New Windsor, NY 12553-5910
Phone (845) 325-7095

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
163312NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Sugar Plum Kids Corp CurrentSince Apr 10, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1063757029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BEAVERBROOK RD",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125535910",
            "telephone_number": "845-325-7095",
            "fax_number": "845-496-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BEAVERBROOK RD",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125535910",
            "telephone_number": "845-325-7095",
            "fax_number": "845-496-6607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUKSZA",
        "first_name": "KAREN",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-03",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "163312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Windsor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.