Active NPI
Kristjan Ragnarsson, M.D.
- Rehabilitation Practitioner
- New York, NY
National Provider Identifier
1114995081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- 129465-1
- Practice address
- Box 1240B
5 E. 98TH Street 6TH Floor
New York, NY 10029 - Phone
- (212) 241-9469
- Fax
- (212) 369-6389
- NPI assigned
- Mar 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | 129465-1 | NY | Primary |
Addresses
Primary practice location
Box 1240B
5 E. 98TH Street 6TH Floor
New York, NY 10029
Mailing address
Box 1240B
5 E. 98TH Street 6TH Floor
New York, NY 10029
Phone (212) 241-9469
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00238399 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 129465-1 | NY | MD | Rehabilitation Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303948800000",
"number": "1114995081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BOX 1240B",
"address_2": "5 E. 98TH STREET 6TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10029",
"telephone_number": "212-241-9469",
"fax_number": "212-369-6389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BOX 1240B",
"address_2": "5 E. 98TH STREET 6TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10029",
"telephone_number": "212-241-9469",
"fax_number": "212-369-6389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAGNARSSON",
"first_name": "KRISTJAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2011-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "NY",
"license": "129465-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00238399",
"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 Apr 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.