Individual provider Active NPI

Janet Kronemberg, REGISTER VASCULAR SP

  • Vascular Sonography Radiologic Technologist
  • New York, NY
National Provider Identifier
1326390436
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Sonography Radiologic TechnologistTaxonomy code 2471V0105X
License
00081464 Issued in NY
Practice address
411 Lafayette St FL 6
New York, NY 10003-7035
Phone
(631) 969-6683
Fax
(631) 968-2401
NPI assigned
Oct 12, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Sonography Radiologic Technologist 2471V0105X 00081464 NY Primary

Addresses

Primary practice location

411 Lafayette St FL 6
New York, NY 10003-7035

Mailing address

1416 Ackerson Blvd
Bay Shore, NY 11706-3845
Phone (631) 463-3747

Other practice location 1

150 Motor Pkwy Fl 4
Hauppauge, NY 11788-5145
Phone (631) 969-6683

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

State licenses

LicenseStateTypeSpecialty
00081464NYMDVascular Sonography Radiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Take Control of Your Health Inc. Current Accepting new patients
Take Control of Your Health Inc. Current Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1326390436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 ACKERSON BLVD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117063845",
            "telephone_number": "631-463-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 LAFAYETTE ST FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100037035",
            "telephone_number": "631-969-6683",
            "fax_number": "631-968-2401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Motor Pkwy Fl 4",
            "address_purpose": "LOCATION",
            "city": "Hauppauge",
            "state": "NY",
            "postal_code": "117885145",
            "country_code": "US",
            "telephone_number": "631-969-6683",
            "fax_number": "631-968-2401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRONEMBERG",
        "first_name": "JANET",
        "credential": "REGISTER VASCULAR SP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-12",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "NY",
            "license": "00081464",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 5, 2020; 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.