Active NPI
Colleen Marie Krupski, AUD
- Audiologist
- Riverhead, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Practice address
- 400 Old Country Rd Ste 16
Riverhead, NY 11901-2148 - Phone
- (631) 727-8050
- NPI assigned
- Jul 3, 2018
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary |
Addresses
Primary practice location
400 Old Country Rd Ste 16
Riverhead, NY 11901-2148
Mailing address
560 White Plains Rd Ste 615
Tarrytown, NY 10591-6802
Phone (914) 333-5801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 Old Country Rd
Suite 16
Riverhead, NY 11901-2148
Phone (631) 727-8050
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.45 of 100
- Quality
- 89.91
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002795 | NY | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT and Allergy Associates LLP | Current | Accepting new patients |
Locations
400 Old Country Rd
Ste 16
Riverhead, NY 11901
Phone (631) 574-3419
365 County Road 39A
Unit 3
Southampton, NY 11968
Phone (631) 283-1142
365 County Road 39A
Southampton, NY 11968
Phone (516) 364-4200
560 White Plains Rd
Ste 615
Tarrytown, NY 10591
Phone (914) 984-2534
660 White Plains Rd
Fl 4
Tarrytown, NY 10591
Phone (914) 984-2546
1086 N Broadway
Ste 220
Yonkers, NY 10701
Phone (914) 279-9500
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Otolaryngology Physician
- Tarrytown, NY
- NPI 1376598326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530576000000",
"number": "1154817062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 WHITE PLAINS RD STE 615",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105916802",
"telephone_number": "914-333-5801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 OLD COUNTRY RD STE 16",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012148",
"telephone_number": "631-727-8050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUPSKI",
"first_name": "COLLEEN",
"middle_name": "MARIE",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-03",
"last_updated": "2018-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.