Active NPI
Geddy Jay Krul, MD
- Pediatrics Physician
- Boynton Beach, FL
National Provider Identifier
1215936604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME174747
- Practice address
- 10301 Hagen Ranch Rd Ste 760
Boynton Beach, FL 33437-3777 - Phone
- (561) 733-4400
- Fax
- (561) 733-5004
- NPI assigned
- Jul 18, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME174747 | FL | Primary |
| Pediatrics Physician | 208000000X | 25MA05108200 | NJ |
Addresses
Primary practice location
10301 Hagen Ranch Rd Ste 760
Boynton Beach, FL 33437-3777
Mailing address
381 Chestnut St
Union, NJ 07083-9430
Phone (908) 688-8007
Other practice location 1
381 Chestnut St
Union, NJ 07083-9430
Phone (908) 688-8007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8586802 | Medicaid | NJ |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME174747 | FL | MD | Pediatrics Physician |
| 25MA05108200 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saltzman, Tanis, Pittel, Levin and Jacobson | Pediatrics | Past | Accepting new patients |
| Saltzman, Tanis, Pittell, Levin and Jacobson | Pediatrics | Past | Accepting new patients |
| Naveen Mehrotra, MD, PA | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/19323/brand/1/csg/1/fhir/r4
- geddy.krul.1@19323.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Boynton Beach, FL
- NPI 1952519654
-
- Pediatrics Physician
- Hollywood, FL
- NPI 1639138480
-
- Pediatrics Physician
- Edison, NJ
- NPI 1063784841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1215936604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "381 CHESTNUT ST",
"city": "UNION",
"state": "NJ",
"postal_code": "070839430",
"telephone_number": "908-688-8007",
"fax_number": "908-688-3884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10301 HAGEN RANCH RD STE 760",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334373777",
"telephone_number": "561-733-4400",
"fax_number": "561-733-5004"
}
],
"practiceLocations": [
{
"address_1": "381 Chestnut St",
"address_purpose": "LOCATION",
"city": "Union",
"state": "NJ",
"postal_code": "070839430",
"country_code": "US",
"telephone_number": "908-688-8007",
"fax_number": "908-688-3884",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRUL",
"first_name": "GEDDY",
"middle_name": "JAY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-18",
"last_updated": "2026-07-13",
"certification_date": "2025-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME174747",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA05108200",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8586802",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.