Individual provider Active NPI

David M Krumholz, OD

  • Optometrist
  • New York, NY
National Provider Identifier
1124028402
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT004588 Issued in NY
Practice address
33 W 42ND St
Sunysco, Room 923
New York, NY 10036-8005
Phone
(212) 938-4001
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X VUT004588 NY Primary

Addresses

Primary practice location

33 W 42ND St
Sunysco, Room 923
New York, NY 10036-8005

Mailing address

33 W 42ND St
Sunysco, Room 923
New York, NY 10036-8005
Phone (212) 938-4172

Other identifiers 1

IdentifierTypeStateIssuer
C3361OtherNYMEDICARE ID

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111221000224 NY Practitioner - Optometry 5395911473 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
VUT004588NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation Current Accepting new patients
State of New York Comptrollers Office CurrentSince Jun 2, 1977 Accepting new patients
State of New York Comptrollers Office Optometrist CurrentSince Jun 2, 1977 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Aug 1, 2021 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Aug 1, 2021 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients

Locations

1920 Webster Ave
Bronx, NY 10457
Phone (646) 815-9700

100 N Portland Ave
Brooklyn, NY 11205
Phone (718) 260-7500

33 W 42nd St
Fl 10
New York, NY 10036
Phone (212) 780-4930

33 W 42nd St
New York, NY 10036
Phone (212) 780-4930

227 Madison St
Fl First
New York, NY 10002
Phone (212) 238-7071

University Eye Ctr
New York, NY 10087

227 Madison St
New York, NY 10002
Phone (212) 238-7000

33 W 42nd St
Rm 923
New York, NY 10036
Phone (212) 938-4001

50 Water St
Fl 3
New York, NY 10004

Interoperability endpoints

  • Direct secure messaging: dkrumholz1840181@nychhc.direct-ci.com

Organizations & group practices 6

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1124028402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 W 42ND ST",
            "address_2": "SUNYSCO, ROOM 923",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100368005",
            "telephone_number": "212-938-4172",
            "fax_number": "212-938-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 W 42ND ST",
            "address_2": "SUNYSCO, ROOM 923",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100368005",
            "telephone_number": "212-938-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUMHOLZ",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT004588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "C3361",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.