Individual provider Active NPI

Johanna Kremberg, DVM

  • Veterinarian
  • Millbrook, NY
National Provider Identifier
1609203223
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
012108 Issued in NY
Practice address
109 N Mabbettsville Rd
Millbrook, NY 12545-5356
Phone
(845) 677-5500
Fax
(845) 677-6009
NPI assigned
Sep 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 012108 NY Primary

Addresses

Primary practice location

109 N Mabbettsville Rd
Millbrook, NY 12545-5356

Mailing address

15 Hunns Lake PT
Stanfordville, NY 12581-5946
Phone (845) 475-4602

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

NPI Registry JSON

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1609203223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HUNNS LAKE PT",
            "city": "STANFORDVILLE",
            "state": "NY",
            "postal_code": "125815946",
            "telephone_number": "845-475-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N MABBETTSVILLE RD",
            "city": "MILLBROOK",
            "state": "NY",
            "postal_code": "125455356",
            "telephone_number": "845-677-5500",
            "fax_number": "845-677-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREMBERG",
        "first_name": "JOHANNA",
        "credential": "DVM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "NY",
            "license": "012108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.