Individual provider Active NPI

Valeriy Kraydman, MD

  • Family Medicine Physician
  • Huntington, NY
National Provider Identifier
1922260660
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
249268 Issued in NY
Practice address
270 Park Ave
Huntington, NY 11743-2787
Phone
(631) 351-2000
NPI assigned
Jun 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 249268 NY Primary

Addresses

Primary practice location

270 Park Ave
Huntington, NY 11743-2787

Mailing address

1648 W 9TH St
Apt 3-I
Brooklyn, NY 11223-1244
Phone (347) 312-5450

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
I20090130000089 NY Practitioner - Family PracticePractitioner - Hospitalist 0345304754 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Suffolk Medical PCGroup PAC ID 0244396349, 204 clinicians
Progressive Care Medical Group PLLCGroup PAC ID 7113298209, 45 clinicians
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

Northport, NY 11768
Phone (631) 271-9151

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 376-3000

275 Moriches Rd
Saint James, NY 11780-2150
Phone (631) 862-8000

301 E Main St
Bay Shore, NY 11706-8408
Phone (631) 968-3636

Hospital & facility affiliations

  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286
  • St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182
  • Our Lady Of Consolation Nursing and Rehabilitive C Nursing home, West Islip, NY, CCN 335539
  • St James Rehabilitation & Healthcare Center Nursing home, St James, NY, CCN 335301

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Huntington Hospital Association CurrentSince Jul 29, 2008 Accepting new patients
Huntington Hospital Association Current Accepting new patients
Kraydman Medical, P.C. Family Medicine CurrentSince Jul 1, 2019 Accepting new patients
North Shore-Lij Medical PC Family Medicine CurrentSince Feb 19, 2016 Accepting new patients
Southwest Suffolk Medical, P.C. CurrentSince Jun 1, 2022 Accepting new patients
Progressive Care Medical Group, PLLC CurrentSince Oct 1, 2024 Accepting new patients
Huntington Hosptial Association CurrentSince Jul 29, 2008 Accepting new patients
Southwest Suffolk Medical PC Family Medicine CurrentSince Jun 1, 2022 Accepting new patients
Our Lady of Consolation Geriatric Care Center Past Accepting new patients
St. James Operating LLC Past Accepting new patients

Locations

301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977

270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308

300 Community Dr
Plandome, NY 11030

275 Moriches Rd
Saint James, NY 11780
Phone (516) 317-8913

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

78 Birchwood Dr
South Huntington, NY 11746
Phone (631) 423-3200

150 Eileen Way
Unit 1
Syosset, NY 11791
Phone (516) 855-5255

111 Beach Dr
West Islip, NY 11795
Phone (631) 587-1600

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 10

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1922260660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 W 9TH ST",
            "address_2": "APT 3-I",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231244",
            "telephone_number": "347-312-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 PARK AVE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432787",
            "telephone_number": "631-351-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAYDMAN",
        "first_name": "VALERIY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "249268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.