Keith Adam Krupa, LPN - Registered Nurse in Port Jefferson, NY

Keith Adam Krupa, LPN is a Registered Nurse - Psychiatric/mental Health, Adult based in Port Jefferson, New York. Keith Adam Krupa is licensed to practice in New York (license number 893109) and his current practice location is 19 Laurita Gate, Port Jefferson, New York. He can be reached at his office (for appointments etc.) via phone at (631) 413-1717.

NPI number for Keith Adam Krupa is 1376157388 and his current mailing address is 200 Wireless Blvd, Hauppauge, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1376157388.

Contact Information

Keith Adam Krupa, LPN
19 Laurita Gate,
Port Jefferson, NY 11777-2113
(631) 413-1717
Not Available

Map and Direction




Provider's Profile

Full NameKeith Adam Krupa
GenderMale
SpecialityRegistered Nurse - Psychiatric/mental Health, Adult
Location19 Laurita Gate, Port Jefferson, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1376157388
  • Provider Enumeration Date: 09/08/2020
  • Last Update Date: 07/06/2023

Medical Identifiers

Medical identifiers for Keith Adam Krupa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376157388NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0809XRegistered Nurse - Psychiatric/mental Health, Adult 893109 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keith Adam Krupa is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Keith Adam Krupa, LPN
200 Wireless Blvd,
Hauppauge, NY 11788-3974

Ph: () -
Keith Adam Krupa, LPN
19 Laurita Gate,
Port Jefferson, NY 11777-2113

Ph: (631) 413-1717

Reviews and Comments


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