Individual provider Active NPI

Andrew H Krinsky, MD

  • Gynecology Physician
  • Tamarac, FL
National Provider Identifier
1609979079
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
ME46476 Issued in FL
Practice address
7401 N University Drive
Suite 101
Tamarac, FL 33321-2934
Phone
(954) 722-2002
Fax
(954) 722-2041
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X ME46476 FL Primary

Addresses

Primary practice location

7401 N University Drive
Suite 101
Tamarac, FL 33321-2934

Mailing address

7401 N University Drive
Suite 101
Tamarac, FL 33321-2934
Phone (954) 722-2002

Other identifiers 1

IdentifierTypeStateIssuer
30852YOtherFLBC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040424000198 FL Practitioner - Obstetrics/Gynecology 3779579644 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC CurrentSince Feb 1, 2004 Accepting new patients

Locations

1801 N University Dr
Ste 201
Coral Springs, FL 33071
Phone (954) 755-1300

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

7401 N University Dr
Ste 101
Tamarac, FL 33321
Phone (954) 722-2002

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302048000000",
    "number": "1609979079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 N UNIVERSITY DRIVE",
            "address_2": "SUITE 101",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212934",
            "telephone_number": "954-722-2002",
            "fax_number": "954-722-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 N UNIVERSITY DRIVE",
            "address_2": "SUITE 101",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212934",
            "telephone_number": "954-722-2002",
            "fax_number": "954-722-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRINSKY",
        "first_name": "ANDREW",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2011-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME46476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "30852Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.