Active NPI
Harold Fritz Kerolle, M.D.
- Family Medicine Physician
- Brooklyn, NY
National Provider Identifier
1780662635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 189432
- Practice address
- 1050 Ocean Ave
Brooklyn, NY 11226-9205 - Phone
- (718) 434-2992
- NPI assigned
- Jan 2, 2006
- Last updated
- Apr 10, 2017
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 189432 | NY | Primary |
Addresses
Primary practice location
1050 Ocean Ave
Brooklyn, NY 11226-9205
Mailing address
1038 Ocean Ave
Ste A1
Brooklyn, NY 11226-7407
Phone (516) 333-3422
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronxcare Health System | Family Medicine | Current | Accepting new patients |
| Bronxcare Health System | Current | Accepting new patients |
Locations
1276 Fulton Ave
Fl 3
Bronx, NY 10456
Phone (718) 901-8297
1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- hkerolle1053643@nychhc.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Corporate Health Clinic/Center
- Brooklyn, NY
- NPI 1780834739
-
- Methadone Clinic
- Bronx, NY
- NPI 1801428222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491782400000",
"number": "1780662635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1038 OCEAN AVE",
"address_2": "STE A1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112267407",
"telephone_number": "516-333-3422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 OCEAN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112269205",
"telephone_number": "718-434-2992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEROLLE",
"first_name": "HAROLD",
"middle_name": "FRITZ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-02",
"last_updated": "2017-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "189432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.