Organization Active NPI

Narinder Kukar Physician P C

  • Endocrinology, Diabetes & Metabolism Physician
  • Ridgewood, NY
National Provider Identifier
1265730907
Registry record updated Dec 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
111361 Issued in NY
Legal business name
NARINDER KUKAR PHYSICIAN P C
Practice address
385 Seneca Ave
Ridgewood, NY 11385-1340
Phone
(718) 497-0060
NPI assigned
Mar 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2016

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

Authorized official

Name
Dr. Narinder Mohan Kukar, M.D
Title
President
Phone
(718) 497-0060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X 111361 NY Primary

Addresses

Primary practice location

385 Seneca Ave
Ridgewood, NY 11385-1340

Mailing address

385 Seneca Ave
Ridgewood, NY 11385-1340
Phone (718) 497-0060

Other identifiers 5

IdentifierTypeStateIssuer
B14807OtherNYUPIN
A100047019OtherNYMEDICARE PTAN
24594POtherNYHIP
00200115MedicaidNY
KS918OtherNYOXFORD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483142400000",
    "number": "1265730907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 SENECA AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113851340",
            "telephone_number": "718-497-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 SENECA AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113851340",
            "telephone_number": "718-497-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NARINDER KUKAR PHYSICIAN P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-04",
        "last_updated": "2016-12-31",
        "status": "A",
        "authorized_official_last_name": "KUKAR",
        "authorized_official_first_name": "NARINDER",
        "authorized_official_middle_name": "MOHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-497-0060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "111361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "B14807",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A100047019",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "24594P",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00200115",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "KS918",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2016; 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.