NPIMap

Individual provider Active NPI

Sunil Kukreja

  • Orthopaedic Surgery of the Spine Physician
  • Rego Park, NY
National Provider Identifier
1326468307
Registry record updated Aug 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
292135 Issued in NY
Practice address
6555 Woodhaven Blvd
Rego Park, NY 11374-5048
Phone
(718) 255-6615
NPI assigned
Apr 17, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 25MA10361300 NJ
Orthopaedic Surgery Physician 207X00000X 292135 NY
Orthopaedic Surgery of the Spine Physician 207XS0117X 25MA10361300 NJ
Student in an Organized Health Care Education/Training Program 390200000X
Orthopaedic Surgery of the Spine Physician 207XS0117X 292135 NY Primary

Addresses

Primary practice location

6555 Woodhaven Blvd
Rego Park, NY 11374-5048

Mailing address

105 Fourth St
Edison, NJ 08837-2653
Phone (318) 655-4393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230512000327 NY Practitioner - Orthopedic Surgery 2961868237 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Erie Medical Services PCGroup PAC ID 8123278215, 11 clinicians

Practice addresses (Care Compare)

268 W Main St
Suite 2
Fredonia, NY 14063-2200
Phone (716) 672-2000

Hospital & facility affiliations

  • Brooks-TLC Hospital System, Inc Hospital, Dunkirk, NY, CCN 330229
  • Upmc Chautauqua at Wca Hospital, Jamestown, NY, CCN 330239
  • Westfield Memorial Hospital, Inc Hospital, Westfield, NY, CCN 330801
  • Bertrand Chaffee Hospital Hospital, Springville, NY, CCN 330111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Spinal fusion34
Upper limb (arm) arthroscopy (minimally invasive joint repair)15
Laminectomy or laminotomy (partial removal of spine bones)22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
292135NYMDLicensed Practical Nurse
25MA10361300NJMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Olean General Hospital Orthopaedic Surgery CurrentSince Apr 1, 2024 Accepting new patients
Olean General Hospital Current Accepting new patients
University at Buffalo Neurosurgery, Inc. CurrentSince Jul 1, 2023 Accepting new patients
University at Buffalo Neurosurgery, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Lake Erie Medical Services, PC CurrentSince Jul 1, 2023 Accepting new patients
General Physician, PC Past Accepting new patients

Locations

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

7060 Erie Rd
Ste 500
Derby, NY 14047

419 Central Ave
Dunkirk, NY 14048
Phone (716) 952-4266

268 W Main St
Ste 2
Fredonia, NY 14063
Phone (716) 672-2000

107 Institute St
Jamestown, NY 14701
Phone (716) 484-4334

2666 W State St
Olean, NY 14760
Phone (716) 701-1700

4039 Route 219
Ste 101
Salamanca, NY 14779
Phone (716) 945-0361

40 George Karl Blvd
Williamsville, NY 14221
Phone (716) 539-0888

Interoperability endpoints

  • Direct secure messaging: sunilkukreejamd@lakeeriehealth.medentdirect.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629504000000",
    "number": "1326468307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 FOURTH ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372653",
            "telephone_number": "318-655-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 WOODHAVEN BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113745048",
            "telephone_number": "718-255-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKREJA",
        "first_name": "SUNIL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-17",
        "last_updated": "2021-08-21",
        "certification_date": "2021-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA10361300",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "292135",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NJ",
            "license": "25MA10361300",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NY",
            "license": "292135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

Verify at the official NPI Registry.