Krishtul Medical Group, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

237383-1 Issued in NY

Legal business name

KRISHTUL MEDICAL GROUP, P.C.

Practice address

436 86TH St
Brooklyn, NY 11209-4708

Phone

(718) 238-0456

Fax

(718) 238-0458

NPI assigned

Nov 19, 2007

Organization subpart

No

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

Authorized official

Name

Alexabder Krishtul, MD

Title

Medical Director

Phone

(866) 366-3060

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1851572895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PENN PLZ",
            "address_2": "SUITE 500",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012006",
            "telephone_number": "866-366-3060",
            "fax_number": "202-349-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094708",
            "telephone_number": "718-238-0456",
            "fax_number": "718-238-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISHTUL MEDICAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "KRISHTUL",
        "authorized_official_first_name": "ALEXABDER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "866-366-3060",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "237383-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohini Krishnan
• Narayanna Krishnan, MD
• Padmanabhan Krishnan
• Vasanti Krishnan, DDS
• Abhinaya Krishnaraj, MD
• Susan Krishtul
• Svetlana Kriss
• Danielle Kristal, DDS
• Kristen Collins LLC
• Kristen Folkerts LLC

• Family Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.