Cranford Medical Group Corp

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA41531 Issued in NJ

Legal business name

CRANFORD MEDICAL GROUP CORP

Practice address

1130 Raritan Rd
Suite 1
Cranford, NJ 07016-3378

Phone

(908) 276-6644

NPI assigned

Apr 29, 2009

Last updated

Apr 29, 2009By 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. Janusz KornickiNPI 1013914035

Title

Owner

Phone

(908) 276-6644

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.

• Janusz S Kornicki, MD

  • Internal Medicine Physician
  • Cranford, NJ
  • NPI 1013914035
  Authorized official Same address or phone

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1104060532",
    "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": "070163378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 RARITAN RD",
            "address_2": "SUITE 1",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070163378",
            "telephone_number": "908-276-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANFORD MEDICAL GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "KORNICKI",
        "authorized_official_first_name": "JANUSZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-276-6644",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA41531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cranford Center for Periodontics & Dental Implants
• Cranford Diagnostic Imaging PA (Cranford Diagnostic Imaging)
• Cranford Family Practice
• Cranford Hall Inc
• Cranford Integrative Psychology, LLC
• Cranford NH LLC (Brookside Terrace Rehabilitation and Nursing Center)
• Cranford NH LLC
• Cranford OB/GYN and Infertility Group
• Cranford Operating LLC (Cranford Park Care)
• Cranford Ophthalmology, P.a.

• 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 Apr 29, 2009; 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.