Active NPI
Kara Conroy
- Specialist
- New York, NY
National Provider Identifier
1073861175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 759204
- Practice address
- 111 E 59TH St
New York, NY 10022-1202 - Phone
- (212) 821-9616
- NPI assigned
- Aug 21, 2012
- Last updated
- Aug 21, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 759204 | NY | Primary |
Addresses
Primary practice location
111 E 59TH St
New York, NY 10022-1202
Mailing address
111 E 59TH St
New York, NY 10022-1202
Phone (212) 821-9616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 252Y00000X | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 759204 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345507200000",
"number": "1073861175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E 59TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100221202",
"telephone_number": "212-821-9616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E 59TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100221202",
"telephone_number": "212-821-9616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONROY",
"first_name": "KARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-21",
"last_updated": "2012-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "759204",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "252Y00000X",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.