Active NPI
Cindy C. Kreisberg, RPAC
- Medical Physician Assistant
- Bronx, NY
National Provider Identifier
1790768232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1607-1
- Practice address
- 250 Bedford Park Blvd W
T-3, Room 118
Bronx, NY 10468-1527 - Phone
- (718) 960-8902
- Fax
- (718) 960-8909
- NPI assigned
- Nov 29, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1607-1 | NY | Primary |
Addresses
Primary practice location
250 Bedford Park Blvd W
T-3, Room 118
Bronx, NY 10468-1527
Mailing address
323 Stratton Rd
New Rochelle, NY 10804-1441
Phone (914) 576-3550
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1607-1 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1790768232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 STRATTON RD",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108041441",
"telephone_number": "914-576-3550",
"fax_number": "718-960-8909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 BEDFORD PARK BLVD W",
"address_2": "T-3, ROOM 118",
"city": "BRONX",
"state": "NY",
"postal_code": "104681527",
"telephone_number": "718-960-8902",
"fax_number": "718-960-8909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREISBERG",
"first_name": "CINDY",
"middle_name": "C.",
"name_prefix": "Mrs.",
"credential": "RPAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-29",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "1607-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.