Richard P Kulak, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

210974 Issued in NY

Practice address

5100 W Taft Rd
Suite G
Liverpool, NY 13088-3807

Phone

(315) 452-2829

Fax

(315) 452-2870

NPI assigned

Mar 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

Practice roles

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.

• Jana Dosztan-Reiss, Inc.

  • Adult Health Nurse Practitioner
  • Liverpool, NY
  • NPI 1962925495
  NPD (past)
• Thomas D Maher MD PLLC

  • Internal Medicine Physician
  • Skaneateles, NY
  • NPI 1700044344
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260489600000",
    "number": "1467412643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 W TAFT RD",
            "address_2": "SUITE 1G",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883807",
            "telephone_number": "315-452-2828",
            "fax_number": "315-452-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 W TAFT RD",
            "address_2": "SUITE G",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883807",
            "telephone_number": "315-452-2829",
            "fax_number": "315-452-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULAK",
        "first_name": "RICHARD",
        "middle_name": "P",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2009-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "210974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Kriegisch Kondapi, CCC-SLP
• Bonnie M Krisak
• Nicholas Kruger
• Michael Scott Krzyzak, O.D.
• Richard B Krzyzak, OD
• Maryjean Katherine Kulle, PH.D.
• Justin M Kurtz, RN, MSN, FNP-C
• Jackson Kwok, MD
• Laboratory Alliance of Central New York, LLC
• Laboratory Corporation of America Holdings

• Family Medicine Physician in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; 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.