Active NPI
Kenneth Janowski, DO LLC
- Internal Medicine Physician
- Hackettstown, NJ
National Provider Identifier
1093901522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MB05972000
- Legal business name
- KENNETH JANOWSKI, DO LLC
- Practice address
- 12 Country Meadow Rd
Hackettstown, NJ 07840-5205 - Phone
- (908) 850-6806
- Fax
- (908) 850-6815
- NPI assigned
- Sep 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth James Janowski, DO
- Title
- Physician/President
- Phone
- (908) 850-6806
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MB05972000 | NJ | Primary |
Addresses
Primary practice location
12 Country Meadow Rd
Hackettstown, NJ 07840-5205
Mailing address
12 Country Meadow Rd
Hackettstown, NJ 07840-5205
Phone (908) 850-6806
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6858601 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Internal Medicine Physician
- Hackettstown, NJ
- NPI 1629017017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348444800000",
"number": "1093901522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 COUNTRY MEADOW RD",
"city": "HACKETTSTOWN",
"state": "NJ",
"postal_code": "078405205",
"telephone_number": "908-850-6806",
"fax_number": "908-850-6815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 COUNTRY MEADOW RD",
"city": "HACKETTSTOWN",
"state": "NJ",
"postal_code": "078405205",
"telephone_number": "908-850-6806",
"fax_number": "908-850-6815"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENNETH JANOWSKI, DO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-18",
"last_updated": "2012-09-24",
"status": "A",
"authorized_official_last_name": "JANOWSKI",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
"authorized_official_telephone_number": "908-850-6806",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MB05972000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6858601",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hackettstown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.