Active NPI
Pavel Krupenin
- Neurology Physician
- New York, NY
National Provider Identifier
1215668710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 341281
- Practice address
- 222 E 41St St FL 10
New York, NY 10017-6739 - Phone
- (212) 263-7744
- NPI assigned
- Jun 23, 2022
- Last updated
- Jul 17, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 341281 | NY | Primary |
Addresses
Primary practice location
222 E 41St St FL 10
New York, NY 10017-6739
Mailing address
222 E 41St St FL 10
New York, NY 10017-6739
Phone (212) 263-7744
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784246400000",
"number": "1215668710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 E 41ST ST FL 10",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100176739",
"telephone_number": "212-263-7744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 E 41ST ST FL 10",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100176739",
"telephone_number": "212-263-7744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUPENIN",
"first_name": "PAVEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-23",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "341281",
"primary": true
}
],
"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 Jul 17, 2026; 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.