Active NPI
Fradel Liba Kernkraut, MSED
- Behavior Technician
- Monsey, NY
National Provider Identifier
1316444938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 133 Route 59
Monsey, NY 10952-3626 - Phone
- (845) 422-8070
- NPI assigned
- Apr 10, 2018
- Last updated
- Apr 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
133 Route 59
Monsey, NY 10952-3626
Mailing address
11 Saddle River Rd
Monsey, NY 10952
Phone (845) 608-5355
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523318400000",
"number": "1316444938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 SADDLE RIVER RD",
"city": "MONSEY",
"state": "NY",
"postal_code": "10952",
"telephone_number": "845-608-5355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 ROUTE 59",
"city": "MONSEY",
"state": "NY",
"postal_code": "109523626",
"telephone_number": "845-422-8070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERNKRAUT",
"first_name": "FRADEL",
"middle_name": "LIBA",
"credential": "MSED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-10",
"last_updated": "2018-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monsey, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.