Aw Kulischenko MD, I Kulischenko, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA43009 Issued in NJ

Legal business name

AW KULISCHENKO MD, I KULISCHENKO, MD

Practice address

495 Ryders LN
East Brunswick, NJ 08816-2769

Phone

(732) 613-9155

Fax

(732) 651-0804

NPI assigned

May 22, 2006

Last updated

Oct 16, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alexander W Kulischenko, MDNPI 1447204565

Title

Prop./Owner

Phone

(732) 613-9155

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexander W Kulischenko, MD

  • Internal Medicine Physician
  • East Brunswick, NJ
  • NPI 1447204565
  Authorized official Same address or phone

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1023062163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 RYDERS LN",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162769",
            "telephone_number": "732-613-9155",
            "fax_number": "732-651-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 RYDERS LN",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162769",
            "telephone_number": "732-613-9155",
            "fax_number": "732-651-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AW KULISCHENKO MD, I KULISCHENKO, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "KULISCHENKO",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PROP./OWNER",
        "authorized_official_telephone_number": "732-613-9155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA43009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in East Brunswick, NJ
• Providers in East Brunswick, 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 16, 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.