Provider Demographics
NPI:1841226008
Name:KRAVETS, FELIX GEORGE (MD)
Entity Type:Individual
Prefix:DR
First Name:FELIX
Middle Name:GEORGE
Last Name:KRAVETS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 STOCKTON DR
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-6433
Mailing Address - Country:US
Mailing Address - Phone:732-286-6333
Mailing Address - Fax:732-505-0325
Practice Address - Street 1:21 STOCKTON DR
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-6433
Practice Address - Country:US
Practice Address - Phone:732-286-6333
Practice Address - Fax:732-505-0325
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA0809410002085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0112593Medicaid
NJP00480333Medicare PIN
NJP00342848Medicare PIN
NJ103117ATAMedicare PIN