Individual provider Active NPI

Narinder Mohan Kukar, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Ridgewood, NY
National Provider Identifier
1679582456
Registry record updated Dec 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
111361 Issued in NY
Practice address
385 Seneca Ave
Ridgewood, NY 11385-1340
Phone
(718) 497-0060
Fax
(718) 497-0060
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 111361 NY Primary

Addresses

Primary practice location

385 Seneca Ave
Ridgewood, NY 11385-1340

Mailing address

6Heather Lane
Muttontown, NY 11753-1302
Phone (516) 938-4965

Other identifiers 4

IdentifierTypeStateIssuer
24594POtherNYHIP
0086703OtherNYAETNA
00200115MedicaidNY
KS918OtherNYOXFORD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20090716000439 NY Practitioner - Internal MedicinePractitioner - DermatologyPractitioner - Endocrinology 6709938046 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TJH Medical Services, P.C. CurrentSince Jul 1, 1993 Accepting new patients
Jamaica Hospital CurrentSince Aug 24, 2011 Accepting new patients
Wyckoff Heights Medical Center Current Accepting new patients
Jamaica Hospital CurrentSince Aug 24, 2011 Accepting new patients
Wyckoff Medical Services, P C Past Accepting new patients

Locations

121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

Interoperability endpoints

  • Direct secure messaging: narinderkukar@whmc.allscriptsdirect.net
  • Direct secure messaging: nkukar3884@direct.medisys.org

Organizations & group practices 5

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1679582456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6HEATHER LANE",
            "city": "MUTTONTOWN",
            "state": "NY",
            "postal_code": "117531302",
            "telephone_number": "516-938-4965",
            "fax_number": "516-938-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 SENECA AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113851340",
            "telephone_number": "718-497-0060",
            "fax_number": "718-497-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKAR",
        "first_name": "NARINDER",
        "middle_name": "MOHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "111361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "24594P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0086703",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00200115",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "KS918",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

Verify at the official NPI Registry.