Active NPI
Karl Kruszynski, PA
- Physician Assistant
- Kingston, NY
National Provider Identifier
1992810220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 009151-1
- 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.
-
- MOHS-Micrographic Surgery Physician
- New York, NY
- NPI 1790210516
-
- Procedural Dermatology Physician
- Kingston, NY
- NPI 1699713040
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
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 100
- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 009151 | NY | MD | Clinical Psychologist |
| 009151-1 | NY | MD | Optician |
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BB Medical and Dermatology Inc | Past | Accepting new patients | |
| Dermatology Services of Kingston P.C. | Past | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 009151-1 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009151-1 | Other | NY | LICENSE |
| 02584563 | Medicaid | NY |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.