Active NPI
Jeffrey A Kramer, M.D.
- Ophthalmology Physician
- Norwich, NY
National Provider Identifier
1689679060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 113046-2
- Practice address
- 194 Grandview LN
Norwich, NY 13815-3331 - Phone
- (607) 334-3225
- Fax
- (607) 334-5946
- NPI assigned
- Jun 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 113046-2 | NY | Primary |
Addresses
Primary practice location
194 Grandview LN
Norwich, NY 13815-3331
Mailing address
194 Grandview LN
Norwich, NY 13815-3331
Phone (607) 334-3225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00548430 | Medicaid | NY |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113046-2 | NY | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198627200000",
"number": "1689679060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "194 GRANDVIEW LN",
"city": "NORWICH",
"state": "NY",
"postal_code": "138153331",
"telephone_number": "607-334-3225",
"fax_number": "607-334-5946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "194 GRANDVIEW LN",
"city": "NORWICH",
"state": "NY",
"postal_code": "138153331",
"telephone_number": "607-334-3225",
"fax_number": "607-334-5946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAMER",
"first_name": "JEFFREY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-14",
"last_updated": "2007-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "113046-2",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00548430",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norwich, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.