Individual provider Active NPI

Jay R. Kripalani, MD

  • Internal Medicine Physician
  • Howard Beach, NY
National Provider Identifier
1902965353
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
215285 Issued in NY
Practice address
15905 92ND St
Howard Beach, NY 11414-3123
Phone
(718) 835-3636
Fax
(718) 835-0897
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 215285 NY Primary

Addresses

Primary practice location

15905 92ND St
Howard Beach, NY 11414-3123

Mailing address

15905 92ND St
Howard Beach, NY 11414-3123
Phone (718) 835-3636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20041008001271 NY Practitioner - Internal Medicine 0941269435 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York at Stony Brook, School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 E 79TH St
Ofc 1a
New York, NY 10075-0319
Phone (212) 861-0400

15905 92ND St
Howard Beach, NY 11414-3123
Phone (718) 835-3636

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lexpark Medical Care PLLC Internal Medicine CurrentSince Jul 20, 2022 Accepting new patients

Locations

120 E 79th St
Ofc 1A
New York, NY 10075
Phone (212) 861-0400

Interoperability endpoints

  • Direct secure messaging: jkripalani@cbms.gwaydirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1902965353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15905 92ND ST",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114143123",
            "telephone_number": "718-835-3636",
            "fax_number": "718-835-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15905 92ND ST",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114143123",
            "telephone_number": "718-835-3636",
            "fax_number": "718-835-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIPALANI",
        "first_name": "JAY",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "215285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howard Beach, NY

Sources for this page

Verify at the official NPI Registry.