Organization Active NPI

Take Control of Your Health Inc.

  • Point of Service
  • Bay Shore, NY
National Provider Identifier
1740629062
Registry record updated Apr 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
00081464 Issued in NY
Legal business name
TAKE CONTROL OF YOUR HEALTH INC.
Practice address
1416 Ackerson Blvd
Bay Shore, NY 11706-3845
Phone
(631) 463-3747
Fax
(631) 968-2401
NPI assigned
Jun 19, 2013
Last updated
Apr 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2014

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

Authorized official

Name
Mrs. Janet Kronemberg, RVSNPI 1326390436
Title
Register Vascular Specialist
Phone
(631) 463-3747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 00081464 NY Primary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X

Addresses

Primary practice location

1416 Ackerson Blvd
Bay Shore, NY 11706-3845

Mailing address

1416 Ackerson Blvd
PO Box 1248
Bay Shore, NY 11706-3845
Phone (631) 463-3747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130328000281 NY Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 7315182052 Practice locations: Bay Shore, NY

National Provider Directory

National Provider Directory
Tax ID family
Take Control of Your Health Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397174400000",
    "number": "1740629062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 ACKERSON BLVD",
            "address_2": "PO BOX 1248",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117063845",
            "telephone_number": "631-463-3747",
            "fax_number": "631-968-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 ACKERSON BLVD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117063845",
            "telephone_number": "631-463-3747",
            "fax_number": "631-968-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKE CONTROL OF YOUR HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-19",
        "last_updated": "2014-04-11",
        "status": "A",
        "authorized_official_last_name": "KRONEMBERG",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "REGISTER VASCULAR SPECIALIST",
        "authorized_official_telephone_number": "631-463-3747",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RVS"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NY",
            "license": "00081464",
            "primary": true
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.