Individual provider Active NPI

Ingrid Maria Blumenkrantz, M.D.

  • Psychiatric Hospital
  • Port Washington, NY
National Provider Identifier
1417382193
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
126421 Issued in NY
Practice address
31 W Shore Rd
Port Washington, NY 11050-3012
Phone
(516) 883-4757
NPI assigned
Sep 12, 2013
Last updated
Sep 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 126421 NY Primary

Addresses

Primary practice location

31 W Shore Rd
Port Washington, NY 11050-3012

Mailing address

31 W Shore Rd
Port Washington, NY 11050-3012
Phone (516) 883-4757

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
126421NYMDPsychiatric Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
Creedmoor Psychiatric Center Psychiatric Hospital Past Accepting new patients

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, 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": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1417382193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 W SHORE RD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503012",
            "telephone_number": "516-883-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 W SHORE RD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503012",
            "telephone_number": "516-883-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMENKRANTZ",
        "first_name": "INGRID",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NY",
            "license": "126421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.