Jennifer Kraus, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

049166-1 Issued in NY

Practice address

175 Jericho Turnpike
Suite 112
Syosset, NY 11791

Phone

(516) 364-0605

Fax

(516) 364-2008

NPI assigned

May 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jo Anne Barbaruolo, DDS PC

  • Periodontics
  • Syosset, NY
  • NPI 1992848170
  NPD (past)

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891908844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 RUSSELL DRIVE",
            "address_2": "APT E26",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014775",
            "telephone_number": "917-476-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 JERICHO TURNPIKE",
            "address_2": "SUITE 112",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "11791",
            "telephone_number": "516-364-0605",
            "fax_number": "516-364-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUS",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "049166-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary A Korn
• Joyce Korn, L.C.S.W.
• Stanley Saul Kornberg, MA CCC SLP
• Monika D Kotapka, PA
• Beverley Marion Kraszewski-Silverman, D.O.
• Ruth Kravit
• Fred Barry Krellenstein, PSY.D.
• Naomi Krikheli
• Arundhati Krishnan
• Fran Bernstein Krivit, MA CCC SLP

• Periodontics in Syosset, NY
• Providers in Syosset, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.