Organization Active NPI

Danielle Kruger PA-C Inc

  • Physician Assistant
  • Floral Park, NY
National Provider Identifier
1760149629
Registry record updated Nov 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
DANIELLE KRUGER PA-C INC
Practice address
218 Bryant Ave
Floral Park, NY 11001-1235
Phone
(347) 229-6857
NPI assigned
Nov 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2021

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

Authorized official

Name
Danielle KrugerNPI 1376860072
Title
Physician Assistant
Phone
(347) 229-6857

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

218 Bryant Ave
Floral Park, NY 11001-1235

Mailing address

218 Bryant Ave
Floral Park, NY 11001-1235

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637798400000",
    "number": "1760149629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 BRYANT AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110011235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 BRYANT AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110011235",
            "telephone_number": "347-229-6857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIELLE KRUGER PA-C INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-25",
        "last_updated": "2021-11-25",
        "certification_date": "2021-11-25",
        "status": "A",
        "authorized_official_last_name": "KRUGER",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "347-229-6857"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Floral Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2021; 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.