Organization Active NPI

Vision Nyc Jonathan Kruh MD PLLC

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1245602143
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
260221 Issued in NY
Legal business name
VISION NYC JONATHAN KRUH MD PLLC
Practice address
25 5TH Ave
Suite 1B
New York, NY 10003-4307
Phone
(646) 799-3648
Fax
(212) 225-8416
NPI assigned
Oct 30, 2015
Last updated
Oct 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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

Authorized official

Name
Ms. Rosemary Kruh
Title
Office Manager
Phone
(646) 799-3648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 260221 NY Primary

Addresses

Primary practice location

25 5TH Ave
Suite 1B
New York, NY 10003-4307

Mailing address

24039 66TH Ave
Douglaston, NY 11362-1924
Phone (646) 799-3648

Other identifiers 1

IdentifierTypeStateIssuer
03571744MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160428001487 NY Part B Supplier - Clinic/Group Practice 2264731033 Receives reassigned benefits from 8 practitioners
Practice locations: Elmhurst, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

8305 Grand Ave
Flushing, NY 11373
Phone (718) 380-8130

25 5th Ave
Apt 1B
New York, NY 10003
Phone (646) 992-8299

Interoperability endpoints

  • Direct secure messaging: edang@kruh.intellechartdirect.net
  • Direct secure messaging: jkruh@kruh.intellechartdirect.net
  • Direct secure messaging: ppatel@kruh.intellechartdirect.net
  • Direct secure messaging: sdhar@kruh.intellechartdirect.net
  • Direct secure messaging: whogue@kruh.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1245602143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24039 66TH AVE",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113621924",
            "telephone_number": "646-799-3648",
            "fax_number": "212-225-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 5TH AVE",
            "address_2": "SUITE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034307",
            "telephone_number": "646-799-3648",
            "fax_number": "212-225-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION NYC JONATHAN KRUH MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "KRUH",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "646-799-3648",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "260221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03571744",
            "state": "NY"
        }
    ],
    "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 Oct 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.