Joy L Kreeger MD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

1867181 Issued in NY

Legal business name

JOY L KREEGER MD PC

Practice address

484 Main St
East Aurora, NY 14052-1716

Phone

(716) 805-1717

Fax

(716) 805-1719

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Joy L Kreeger, M.D.NPI 1124122304

Title

Owner

Phone

(716) 805-1717

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joy Lynn Kreeger, MD

  • Psychiatry Physician
  • East Aurora, NY
  • NPI 1124122304
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477616159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 MAIN ST",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140521716",
            "telephone_number": "716-805-1717",
            "fax_number": "716-805-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 MAIN ST",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140521716",
            "telephone_number": "716-805-1717",
            "fax_number": "716-805-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOY L KREEGER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KREEGER",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-805-1717",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "1867181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01462179",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000524399003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "1509109",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00020261801",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melinda Dawn Irons, RPH
• Kelly C Izydorczak, RPH
• Sarah E Jackson, PTA
• John P. Ward
• Patricia A. Jones, LCSW
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• Seth Alan Kaiser, D.C., P.T.
• Shannon Kamm

• Psychiatry Physician in East Aurora, NY
• Providers in East Aurora, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.