Individual provider Active NPI

Haviva Novogroder, MS SP ED

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1215379946
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
665553961 Issued in NY
Practice address
57 Willoughby St
Brooklyn, NY 11201-5257
Phone
(718) 522-2122
Fax
(718) 522-6983
NPI assigned
Jul 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 665553961 NY Primary

Addresses

Primary practice location

57 Willoughby St
Brooklyn, NY 11201-5257

Mailing address

530 Grand St
F1E
New York, NY 10002-4258
Phone (718) 522-2122

Other names 1

  • Haviva Kramer Other name

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
Master of Science

State licenses

LicenseStateTypeSpecialty
665553961NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1215379946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 GRAND ST",
            "address_2": "F1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100024258",
            "telephone_number": "718-522-2122",
            "fax_number": "718-522-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 WILLOUGHBY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015257",
            "telephone_number": "718-522-2122",
            "fax_number": "718-522-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVOGRODER",
        "first_name": "HAVIVA",
        "credential": "MS SP ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-23",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "665553961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAVIVA",
            "last_name": "KRAMER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.