Active NPI
Komal Kumar Kukkar, PT
- Physical Therapist
- South Richmond Hill, NY
National Provider Identifier
1124452230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 036783
- Practice address
- 11515 101St Ave
South Richmond Hill, NY 11419-1247 - Phone
- (312) 810-8455
- NPI assigned
- Aug 26, 2013
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 036783 | NY | Primary |
Addresses
Primary practice location
11515 101St Ave
South Richmond Hill, NY 11419-1247
Mailing address
130 Tuers Ave
Apt 130
Jersey City, NJ 07306-3216
Phone (312) 810-8455
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036783 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Home Mobility & Safety Consultants, LLC | Current | 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.
-
- Durable Medical Equipment & Medical Supplies
- New Hyde Park, NY
- NPI 1174207989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386720000000",
"number": "1124452230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 TUERS AVE",
"address_2": "APT 130",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073063216",
"telephone_number": "312-810-8455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11515 101ST AVE",
"city": "SOUTH RICHMOND HILL",
"state": "NY",
"postal_code": "114191247",
"telephone_number": "312-810-8455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUKKAR",
"first_name": "KOMAL",
"middle_name": "KUMAR",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-26",
"last_updated": "2013-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "036783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Richmond Hill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.