Individual provider Active NPI

Judith Knaupp, CNS

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Great Neck, NY
National Provider Identifier
1609253673
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
370262 Issued in NY
Practice address
225 Community Dr
Suite 110
Great Neck, NY 11021-5503
Phone
(516) 918-4390
Fax
(516) 918-4387
NPI assigned
Apr 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 370262 NY Primary

Addresses

Primary practice location

225 Community Dr
Suite 110
Great Neck, NY 11021-5503

Mailing address

225 Community Dr
Suite 110
Great Neck, NY 11021-5503
Phone (516) 918-4390

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
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
370262NYMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1609253673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 COMMUNITY DR",
            "address_2": "SUITE 110",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215503",
            "telephone_number": "516-918-4390",
            "fax_number": "516-918-4387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 COMMUNITY DR",
            "address_2": "SUITE 110",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215503",
            "telephone_number": "516-918-4390",
            "fax_number": "516-918-4387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAUPP",
        "first_name": "JUDITH",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NY",
            "license": "370262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.