Jeffrey Krupen, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

155153 Issued in NY

Practice address

21432 43Rd Ave
Bayside, NY 11361-2956

Phone

(718) 224-7200

Fax

(718) 224-7582

NPI assigned

Jul 17, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: jeffreykrupen@jk.allscriptsdirect.net

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174522726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21432 43RD AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612956",
            "telephone_number": "718-224-7200",
            "fax_number": "718-224-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21432 43RD AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612956",
            "telephone_number": "718-224-7200",
            "fax_number": "718-224-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUPEN",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "155153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Nicole Kreamer
• Kelly M Kresofsky, M.A., CCC-SLP
• Joel Edmond Kronberg, DDS
• Jonathan Kruger
• Stephen Robert Kruger, D.D.S.
• KS Podiatry PC
• Daniel Alexander Kuncio, DDS
• Zenovia Didoshak Kuncio, DDS
• Won Seok Kwag
• Kwon Podiatry PC

• Internal Medicine Physician in Bayside, NY
• Providers in Bayside, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.