Debra M Kroll MD LLC

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X

Legal business name

DEBRA M KROLL MD LLC

Practice address

1056 5TH Ave # 1B
New York, NY 10028-0112

Phone

(212) 585-4302

NPI assigned

May 19, 2023

Organization subpart

No

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

Authorized official

Name

Debra M. Kroll, MDNPI 1669408498

Title

Ceo/President

Phone

(617) 835-7128

Specialties & licenses 1

Addresses

Other names 1

• Debra M Kroll MD Doing business as

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.

• Debra Michelle Kroll, M.D.

  • Specialist
  • New York, NY
  • NPI 1669408498
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1528759404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 5TH AVE # 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280112",
            "telephone_number": "617-835-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 5TH AVE # 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280112",
            "telephone_number": "212-585-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA M KROLL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "KROLL",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "617-835-7128",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Debra M Kroll MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah Missud Mental Health Counseling PLLC
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• Debra Abramson
• Debra Green, MD PLLC
• Debra J. Wattenberg, M.D.,P.C
• Debra M. Kroll, MD, LLC
• Debra Posner, LCSW, P.C.
• Charles H Debrovner, MD
• Barbara Ann Debuono, MD, MPH
• Wojciech Dec, M.D.

• Ophthalmic Plastic and Reconstructive Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• Ophthalmic Plastic and Reconstructive Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.