Individual provider Active NPI

David Richard Kraft, MS, RN, NP-C

  • Adult Health Nurse Practitioner
  • New Hyde Park, NY
National Provider Identifier
1366606378
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
304806 Issued in NY
Practice address
122 Sycamore Dr
New Hyde Park, NY 11040-2427
Phone
(516) 747-0991
Fax
(516) 739-1405
NPI assigned
Jul 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 541291 NY
Adult Health Nurse Practitioner 363LA2200X 304806 NY Primary

Addresses

Primary practice location

122 Sycamore Dr
New Hyde Park, NY 11040-2427

Mailing address

122 Sycamore Dr
New Hyde Park, NY 11040-2427
Phone (516) 747-0991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181206000448 NY Practitioner - Nurse Practitioner 7517201254 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75.5 of 100Reported as group
Quality
60.62
Improvement activities
40
Cost
73.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
541291NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Developmental Chemo Group CurrentSince Sep 1, 2021 Accepting new patients
Memorial Medical Consultation Group CurrentSince Oct 9, 2018 Accepting new patients
Memorial Solid Tumor Group CurrentSince Oct 9, 2018 Accepting new patients

Locations

633 3rd Ave
Lbby 3
New York, NY 10017
Phone (848) 225-6000

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: dkraft37998@mskcc.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1366606378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 SYCAMORE DR",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402427",
            "telephone_number": "516-747-0991",
            "fax_number": "516-739-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 SYCAMORE DR",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402427",
            "telephone_number": "516-747-0991",
            "fax_number": "516-739-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAFT",
        "first_name": "DAVID",
        "middle_name": "RICHARD",
        "credential": "MS, RN, NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "541291",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "304806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.