Organization Active NPI

Pequannock Animal Hospital

  • Veterinarian
  • Pompton Plains, NJ
National Provider Identifier
1104088574
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
Legal business name
PEQUANNOCK ANIMAL HOSPITAL
Practice address
591 Newark Pompton Tpke
Pompton Plains, NJ 07444-1731
Phone
(973) 616-0400
NPI assigned
Jun 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Matthew KrupnickNPI 1205098639
Title
Veterinarian
Phone
(973) 616-0400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VeterinarianGroup: 193400000X SINGLE SPECIALTY GROUP 174M00000X Primary

Addresses

Primary practice location

591 Newark Pompton Tpke
Pompton Plains, NJ 07444-1731

Mailing address

591 Newark Pompton Tpke
Pompton Plains, NJ 07444-1731

National Provider Directory

National Provider Directory

Locations

591 Newark Pompton Tpke
Pompton Plains, NJ 07444
Phone (973) 616-0400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1104088574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 NEWARK POMPTON TPKE",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 NEWARK POMPTON TPKE",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441731",
            "telephone_number": "973-616-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEQUANNOCK ANIMAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "KRUPNICK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "VETERINARIAN",
        "authorized_official_telephone_number": "973-616-0400"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Veterinarian",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompton Plains, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.