Individual provider Active NPI

Karyna M Neyra, M.D

  • Infectious Disease Physician
  • West Caldwell, NJ
National Provider Identifier
1841532330
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
25MA10353900 Issued in NJ
Practice address
602 Bloomfield Ave
West Caldwell, NJ 07006-7503
Phone
(973) 771-3643
Fax
(973) 771-3842
NPI assigned
Mar 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 10353 NJ
Infectious Disease Physician 207RI0200X 25MA10353900 NJ Primary

Addresses

Primary practice location

602 Bloomfield Ave
West Caldwell, NJ 07006-7503

Mailing address

91-93 Pompton Ave
#1038
Cedar Grove, NJ 07009
Phone (973) 771-3643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180706000597 NJ Practitioner - Infectious DiseasePractitioner - Internal Medicine 3577819416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

602 Bloomfield Ave
West Caldwell, NJ 07006-7503
Phone (973) 771-3643

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10353NJMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Birch Tree Medical Associates PA CurrentSince Jan 1, 2020 Accepting new patients
New Heights Medical Group, LLC Infectious Disease CurrentSince Jun 27, 2023 Accepting new patients
Neighborhood Urgent Care PastSince Jul 27, 2018 Accepting new patients

Locations

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

197 Cedar Ln
Ste 2
Teaneck, NJ 07666
Phone (201) 591-9840

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

602 Bloomfield Ave
West Caldwell, NJ 07006
Phone (973) 226-1850

Interoperability endpoints

  • Direct secure messaging: kneyra837205@ahs.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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1841532330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-93 POMPTON AVE",
            "address_2": "#1038",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "07009",
            "telephone_number": "973-771-3643",
            "fax_number": "737-713-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 BLOOMFIELD AVE",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067503",
            "telephone_number": "973-771-3643",
            "fax_number": "973-771-3842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEYRA",
        "first_name": "KARYNA",
        "middle_name": "M",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-22",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "10353",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MA10353900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Caldwell, NJ

Sources for this page

Verify at the official NPI Registry.