Organization Active NPI

Anna N Krol Physician PC

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
National Provider Identifier
1861671265
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
209914 Issued in NY
Legal business name
ANNA N KROL PHYSICIAN PC
Practice address
2000 Kings Hwy
Ste 1E
Brooklyn, NY 11229-1445
Phone
(718) 285-9260
Fax
(718) 285-9266
NPI assigned
Nov 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Authorized official

Name
Anna N Krol, MDNPI 1720026529
Title
President
Phone
(718) 285-9260

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
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 209914 NY Primary

Addresses

Primary practice location

2000 Kings Hwy
Ste 1E
Brooklyn, NY 11229-1445

Mailing address

2000 Kings Hwy
Ste 1E
Brooklyn, NY 11229-1445
Phone (718) 285-9260

Other identifiers 1

IdentifierTypeStateIssuer
01878266MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080328000625 NY Part B Supplier - Clinic/Group Practice 7113002965 Receives reassigned benefits from 1 practitioner
Practice locations: Bronx, NY; Brooklyn, NY

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": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1861671265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 KINGS HWY",
            "address_2": "STE 1E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291445",
            "telephone_number": "718-285-9260",
            "fax_number": "718-285-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 KINGS HWY",
            "address_2": "STE 1E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291445",
            "telephone_number": "718-285-9260",
            "fax_number": "718-285-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA N KROL PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "KROL",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-285-9260",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "209914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01878266",
            "state": "NY"
        }
    ],
    "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 Jun 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.