Individual provider Active NPI

Cheryl Ann Krasinski, MD

  • Internal Medicine Physician
  • Hampton Bays, NY
National Provider Identifier
1902989080
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
60193743 Issued in NY
Practice address
5 Washington Ave E
Hampton Bays, NY 11946-1520
Phone
(516) 972-0987
NPI assigned
Oct 23, 2006
Last updated
Aug 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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 60193743 NY Primary

Addresses

Primary practice location

5 Washington Ave E
Hampton Bays, NY 11946-1520

Mailing address

5 Washington Ave E
Hampton Bays, NY 11946-1520
Phone (516) 972-0987

Other identifiers 1

IdentifierTypeStateIssuer
01486837MedicaidNY

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
I20110518000194 NY Practitioner - Internal Medicine 8527244011 Practice locations: South Setauket, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60193743NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Sea Associates LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1902989080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WASHINGTON AVE E",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119461520",
            "telephone_number": "516-972-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WASHINGTON AVE E",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119461520",
            "telephone_number": "516-972-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRASINSKI",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "60193743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01486837",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton Bays, NY

Sources for this page

Verify at the official NPI Registry.