Individual provider Active NPI

Joy Lynn Kreeger, MD

  • Psychiatry Physician
  • East Aurora, NY
National Provider Identifier
1124122304
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
186718-1 Issued in NY
Practice address
484 Main St
East Aurora, NY 14052-1716
Phone
(716) 805-1717
Fax
(716) 805-1719
NPI assigned
Sep 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X 186718-1 NY
Psychiatry Physician 2084P0800X 186718-1 NY Primary

Addresses

Primary practice location

484 Main St
East Aurora, NY 14052-1716

Mailing address

484 Main St
East Aurora, NY 14052-1716
Phone (716) 805-1717

Other identifiers 4

IdentifierTypeStateIssuer
11123137OtherCOUNCIL FOR AFFORDABLE QUALITY HEALTHCARE
01462179MedicaidNY
69763980OtherNYQUEST DIAGNOSTICS
69788OtherAMERICAN PSYCHIATRIC ASSOCIATION

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
I20070209000303 NY Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 5395747026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Rutgers New Jersey Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

484 Main St
East Aurora, NY 14052-1716
Phone (716) 805-1717

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
186718-1NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joy L Kreeger MD PC Psychiatry CurrentSince Feb 9, 2007 Accepting new patients
State of New York Comptrollers Office Past Accepting new patients

Locations

726 Main St
East Aurora, NY 14052
Phone (716) 805-1717

484 Main St
East Aurora, NY 14052
Phone (716) 805-1717

Interoperability endpoints

  • Direct secure messaging: joykreeger@ehc.allscriptsdirect.net

Organizations & group practices 2

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": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1124122304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 MAIN ST",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140521716",
            "telephone_number": "716-805-1717",
            "fax_number": "716-805-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 MAIN ST",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140521716",
            "telephone_number": "716-805-1717",
            "fax_number": "716-805-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREEGER",
        "first_name": "JOY",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NY",
            "license": "186718-1",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "186718-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNCIL FOR AFFORDABLE QUALITY HEALTHCARE",
            "identifier": "11123137",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01462179",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUEST DIAGNOSTICS",
            "identifier": "69763980",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN PSYCHIATRIC ASSOCIATION",
            "identifier": "69788",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Aurora, NY

Sources for this page

Verify at the official NPI Registry.