Individual provider Active NPI

Joe Krieger, R.P.A.

  • Physician Assistant
  • Schenectady, NY
National Provider Identifier
1558566612
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
124 Rosa Rd
Suite 382
Schenectady, NY 12308
Phone
(518) 386-3691
Fax
(518) 386-3557
NPI assigned
Jun 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001814-1 NY
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

124 Rosa Rd
Suite 382
Schenectady, NY 12308

Mailing address

124 Rosa Rd
Suite 382
Schenectady, NY 12308
Phone (518) 386-3691

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001814-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Schenectady Pulmonary & Critical Care Associates PC PastSince Jan 1, 2003 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1558566612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 ROSA RD",
            "address_2": "SUITE 382",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "12308",
            "telephone_number": "518-386-3691",
            "fax_number": "518-386-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 ROSA RD",
            "address_2": "SUITE 382",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "12308",
            "telephone_number": "518-386-3691",
            "fax_number": "518-386-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIEGER",
        "first_name": "JOE",
        "name_prefix": "Mr.",
        "credential": "R.P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "001814-1",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.

Verify at the official NPI Registry.