Peter Louis Krakoff, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35S100179000 Issued in NJ

Practice address

144 Livingston Ave
New Brunswick, NJ 08901-2936

Phone

(732) 763-9255

NPI assigned

Jan 28, 2008

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 NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1215114632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 LAKE PARK DR",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088545124",
            "telephone_number": "732-463-3768",
            "fax_number": "732-235-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 LIVINGSTON AVE",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012936",
            "telephone_number": "732-763-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAKOFF",
        "first_name": "PETER",
        "middle_name": "LOUIS",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35S100179000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magdaline Kotsakis
• David Kountz
• Maria Ji Kyung Ham Kowzun, M.D.
• Dorothy M Kozlowski, NPC MSN
• Jonathan Kraidin
• Susann A Krane, RN, APN-C
• Bradley Krapes
• Svetlana L. Krasnova, APN
• Tracy A Krimmel
• Jill Kropa, M.D.

• Psychologist in New Brunswick, NJ
• Providers in New Brunswick, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.
• 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.

Verify at the official NPI Registry.