Active NPI
Jennifer Anne Krajewski, M.D.
- Pediatric Hematology & Oncology Physician
- Hawthorne, NY
National Provider Identifier
1174698096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- 240220
- Practice address
- 19 Bradhurst Ave Ste 800S
Hawthorne, NY 10532-2140 - Phone
- (914) 909-5361
- Fax
- (914) 594-2153
- NPI assigned
- Nov 24, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Hematology & Oncology Physician | 2080P0207X | 25MA08742900 | NJ | |
| Pediatric Hematology & Oncology Physician | 2080P0207X | 240220 | NY | Primary |
Addresses
Primary practice location
19 Bradhurst Ave Ste 800S
Hawthorne, NY 10532-2140
Mailing address
19 Bradhurst Ave Ste 800S
Hawthorne, NY 10532-2140
Phone (914) 909-5361
Other practice location 1
30 Prospect Ave, WFAN Bldg, 1st Floor, Office 137
Hackensack University Medical Center
Hackensack, NJ 07601
Phone (201) 996-5600
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08742900 | NJ | MD | Pediatric Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TBHC Pediatric Services PC | Single Specialty | Past | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653350400000",
"number": "1174698096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 BRADHURST AVE STE 800S",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105322140",
"telephone_number": "914-909-5361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 BRADHURST AVE STE 800S",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105322140",
"telephone_number": "914-909-5361",
"fax_number": "914-594-2153"
}
],
"practiceLocations": [
{
"address_1": "30 Prospect Ave, WFAN Bldg, 1st Floor, Office 137",
"address_2": "Hackensack University Medical Center",
"address_purpose": "LOCATION",
"city": "Hackensack",
"state": "NJ",
"postal_code": "07601",
"country_code": "US",
"telephone_number": "201-996-5600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRAJEWSKI",
"first_name": "JENNIFER",
"middle_name": "ANNE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-24",
"last_updated": "2022-05-24",
"certification_date": "2022-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "NJ",
"license": "25MA08742900",
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "NY",
"license": "240220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hawthorne, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.