Active NPI
Danielle Kruger
- Specialist
- Bellmore, NY
National Provider Identifier
1427400134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 855128141
- Practice address
- 13 Ocean Ave
Bellmore, NY 11710 - Phone
- (631) 935-2541
- NPI assigned
- Jul 6, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 855127141 | NY | |
| Specialist | 174400000X | 855129141 | NY | |
| Specialist | 174400000X | 855128141 | NY | Primary |
| Specialist | 174400000X | 855126141 | NY |
Addresses
Primary practice location
13 Ocean Ave
Bellmore, NY 11710
Mailing address
13 Ocean Ave
Bellmore, NY 11710
Phone (631) 935-2541
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 855127141 | Other | NY | TEACHER CERTIFICATION |
| 855128141 | Other | NY | TEACHER CERTIFICATION |
| 855129141 | Other | NY | TEACHER CERTIFICATION |
| 855126141 | Other | NY | TEACHER CERTIFICATION |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 855126141 | NY | MD | Specialist |
| 855127141 | NY | MD | Specialist |
| 855128141 | NY | MD | Specialist |
| 855129141 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467763200000",
"number": "1427400134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 OCEAN AVE",
"city": "BELLMORE",
"state": "NY",
"postal_code": "11710",
"telephone_number": "631-935-2541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 OCEAN AVE",
"city": "BELLMORE",
"state": "NY",
"postal_code": "11710",
"telephone_number": "631-935-2541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUGER",
"first_name": "DANIELLE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-06",
"last_updated": "2016-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "855127141",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "855129141",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "855128141",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "855126141",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEACHER CERTIFICATION",
"identifier": "855127141",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEACHER CERTIFICATION",
"identifier": "855128141",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEACHER CERTIFICATION",
"identifier": "855129141",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEACHER CERTIFICATION",
"identifier": "855126141",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellmore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.