Individual provider Active NPI

Karl Kruszynski, PA

  • Physician Assistant
  • Kingston, NY
National Provider Identifier
1992810220
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
009151-1 Issued in NY
Practice address
40 Hurley Ave Ste 10
Kingston, NY 12401-3738
Phone
(845) 338-3200
Fax
(845) 338-3233
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Duke University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hudson Dermatology, PC 40 clinicians

Practice addresses (Care Compare)

40 Hurley Ave
Suite 3
Kingston, NY 12401-3738
Phone (845) 338-3200

969 Main St
Suite D
Fishkill, NY 12524-1791
Phone (845) 896-7730

Merit-based Incentive Payment System (MIPS)

Final score
92.76 of 100Reported as group
Quality
96.13
Promoting interoperability
100
Improvement activities
40
Cost
79.75

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061202000008 NY Practitioner - Physician Assistant 9234137126 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
009151NYMDClinical Psychologist
009151-1NYMDOptician

Practice roles (2 of 6)

OrganizationSpecialtyStatusNew patients
BB Medical and Dermatology Inc Past Accepting new patients
Dermatology Services of Kingston P.C. PastSince Jun 17, 2003 Accepting new patients

Networks

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 009151-1 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

40 Hurley Ave Ste 10
Kingston, NY 12401-3738

Mailing address

969 Main St Ste D
Fishkill, NY 12524-1791
Phone (845) 896-7730

Other practice location 1

29 Fox St Fl 4
Poughkeepsie, NY 12601-4732
Phone (845) 473-2350

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
009151-1OtherNYLICENSE
02584563MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 13, 2018.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1992810220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 MAIN ST STE D",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125241791",
            "telephone_number": "845-896-7730",
            "fax_number": "845-896-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 HURLEY AVE STE 10",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013738",
            "telephone_number": "845-338-3200",
            "fax_number": "845-338-3233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 Fox St Fl 4",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126014732",
            "country_code": "US",
            "telephone_number": "845-473-2350",
            "fax_number": "845-473-4305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUSZYNSKI",
        "first_name": "KARL",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "009151-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "009151-1",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02584563",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.