Organization Active NPI

Kenneth Janowski, DO LLC

  • Internal Medicine Physician
  • Hackettstown, NJ
National Provider Identifier
1093901522
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MB05972000 Issued in NJ
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

Updated by the provider on Sep 24, 2012

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

Authorized official

Name
Kenneth James Janowski, DONPI 1629017017
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
6858601MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.