Individual provider Active NPI

Jenifer Kim Kramer, MD

  • Internal Medicine Physician
  • Wantagh, NY
National Provider Identifier
1376544981
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
236616 Issued in NY
Practice address
3375 Park Ave
Suite 2003
Wantagh, NY 11793-3733
Phone
(516) 781-2171
Fax
(516) 366-3565
NPI assigned
Aug 4, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 236616 NY Primary

Addresses

Primary practice location

3375 Park Ave
Suite 2003
Wantagh, NY 11793-3733

Mailing address

3375 Park Ave
Suite 2003
Wantagh, NY 11793-3733
Phone (516) 781-2171

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jenifer.kramer@25325196738564.direct.elationemr.com Direct Jenifer Kramer MD PC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050914001221 NY Practitioner - Internal Medicine 4587697024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3375 Park Ave
Suite 2003
Wantagh, NY 11793-3712
Phone (516) 781-2171

Hospital & facility affiliations

  • NYU Langone Home Health Care Home health agency, Garden City, NY, CCN 337187

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
236616NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jenifer Kramer MD PC Internal Medicine CurrentSince Feb 20, 2016 Accepting new patients

Locations

3375 Park Ave
Ste 2003
Wantagh, NY 11793
Phone (516) 781-2171

Interoperability endpoints

  • Direct secure messaging: jenifer.kramer@25325196738564.direct.elationemr.com

Organizations & group practices 1

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 1

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": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1376544981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 PARK AVE",
            "address_2": "SUITE 2003",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933733",
            "telephone_number": "516-781-2171",
            "fax_number": "516-366-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 PARK AVE",
            "address_2": "SUITE 2003",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933733",
            "telephone_number": "516-781-2171",
            "fax_number": "516-366-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "JENIFER",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-04",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "236616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jenifer.kramer@25325196738564.direct.elationemr.com",
            "affiliation": "Y",
            "endpointDescription": "sharing of health information",
            "affiliationName": "Jenifer Kramer MD PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3375 Park Ave",
            "address_2": "suite 2003",
            "city": "Wantagh",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117933733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

Verify at the official NPI Registry.