Active NPI
Jennifer Kraker, MD, MS
- Psychiatry Physician
- New York, NY
National Provider Identifier
1164686325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 257741
- Practice address
- 122 E 42ND St RM 3006
New York, NY 10168-3095 - Phone
- (646) 813-3750
- Fax
- (646) 701-5655
- NPI assigned
- Jul 16, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | 257741 | NY | |
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | 257741 | NY | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | C184648 | CA | |
| Psychiatry Physician | 2084P0800X | ME160250 | FL | |
| Psychiatry Physician | 2084P0800X | 0101287718 | VA | |
| Psychiatry Physician | 2084P0800X | C184648 | CA | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | 0101287718 | VA | |
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | ME160250 | FL | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | ME160250 | FL | |
| Psychiatry Physician | 2084P0800X | 257741 | NY | Primary |
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | C184648 | CA |
Addresses
Primary practice location
122 E 42ND St RM 3006
New York, NY 10168-3095
Mailing address
122 E 42ND St RM 3006
New York, NY 10168-3095
Phone (646) 813-3750
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)
- Not enrolled
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C184648 | CA | MD | Addiction Medicine (Preventive Medicine) Physician |
| ME160250 | FL | MD | Public Health & General Preventive Medicine Physician |
| 257741 | NY | MD | Public Health & General Preventive Medicine Physician |
| 0101287718 | VA | MD | Public Health & General Preventive Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771286400000",
"number": "1164686325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 E 42ND ST RM 3006",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101683095",
"telephone_number": "646-813-3750",
"fax_number": "646-701-5655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 E 42ND ST RM 3006",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101683095",
"telephone_number": "646-813-3750",
"fax_number": "646-701-5655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAKER",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "MD, MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-16",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "NY",
"license": "257741",
"primary": false
},
{
"code": "2083A0300X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Addiction Medicine",
"state": "NY",
"license": "257741",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "CA",
"license": "C184648",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME160250",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101287718",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C184648",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "VA",
"license": "0101287718",
"primary": false
},
{
"code": "2083A0300X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Addiction Medicine",
"state": "FL",
"license": "ME160250",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "FL",
"license": "ME160250",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "257741",
"primary": true
},
{
"code": "2083A0300X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Addiction Medicine",
"state": "CA",
"license": "C184648",
"primary": false
}
],
"identifiers": [],
"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 Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.