Janusz S Kornicki, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA04135100 Issued in NJ

Practice address

1130 Raritan Rd
Cranford, NJ 07016-3328

Phone

(908) 276-6644

Fax

(908) 276-3862

NPI assigned

Jul 5, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1013914035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 RARITAN RD",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070163328",
            "telephone_number": "908-276-6644",
            "fax_number": "908-276-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 RARITAN RD",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070163328",
            "telephone_number": "908-276-6644",
            "fax_number": "908-276-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNICKI",
        "first_name": "JANUSZ",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04135100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6209203",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mikael Khachatryan, PMHNP-BC
• Neelam Khadke, M.D
• Marcy Kielczynski, MSW, LCSW
• Jaclyn Kirdahy, MA, CCC-SLP
• Kenneth Kurt Konegen, DDS
• Summer Kortbaoui
• Stephanie Koscica
• Andrea Kozodoy, MSQ
• Natalia Krasowski
• Kurt M Krause, D.M.D.

• Internal Medicine Physician in Cranford, NJ
• Providers in Cranford, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.