Active NPI
Khristina Kasuba, M.D.
- Pediatric Adolescent Medicine Physician
- Depew, NY
National Provider Identifier
1306088190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 266667-1
- Practice address
- 4899 Transit Rd
Depew, NY 14043-4776 - Phone
- (716) 558-5437
- NPI assigned
- Mar 25, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 266667-1 | NY | Primary |
Addresses
Primary practice location
4899 Transit Rd
Depew, NY 14043-4776
Mailing address
4899 Transit Rd
Depew, NY 14043-4776
Phone (716) 558-5437
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 |
|---|---|---|---|
| 266667-1 | NY | MD | Pediatric Adolescent Medicine Physician |
Interoperability endpoints
- drkasuba@gtpediatrics.medentdirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359072000000",
"number": "1306088190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4899 TRANSIT RD",
"city": "DEPEW",
"state": "NY",
"postal_code": "140434776",
"telephone_number": "716-558-5437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4899 TRANSIT RD",
"city": "DEPEW",
"state": "NY",
"postal_code": "140434776",
"telephone_number": "716-558-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASUBA",
"first_name": "KHRISTINA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-25",
"last_updated": "2013-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NY",
"license": "266667-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Depew, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.