NPIMap

Organization Active NPI

Elion Krok, M.D. PC

  • Endocrinology, Diabetes & Metabolism Physician
  • West Orange, NJ
National Provider Identifier
1124399308
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
ELION KROK, M.D. PC
Practice address
993 Pleasant Valley Way
West Orange, NJ 07052-1801
Phone
(973) 544-8901
Fax
(866) 929-9843
NPI assigned
Jan 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Authorized official

Name
Elion Krok, MDNPI 1538468491
Title
Physician
Phone
(973) 544-8901

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 25MA08957000 NJ
Obesity Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RB0002X
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RE0101X Primary
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

993 Pleasant Valley Way
West Orange, NJ 07052-1801

Mailing address

993 Pleasant Valley Way
West Orange, NJ 07052-1801
Phone (973) 544-8901

Other names 1

  • IMMC Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120222000450 NJ Part B Supplier - Clinic/Group Practice 1850559840 Receives reassigned benefits from 3 practitioners
Practice locations: West Orange, NJ

National Provider Directory

National Provider Directory

Locations

993 Pleasant Valley Way
West Orange, NJ 07052
Phone (973) 544-8901

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/a908c3c1-d57b-4b71-a356-fc8946aff540/

Practitioners & affiliated clinicians

Practitioners 4

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": "1327017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1124399308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993 PLEASANT VALLEY WAY",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521801",
            "telephone_number": "973-544-8901",
            "fax_number": "866-929-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 PLEASANT VALLEY WAY",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521801",
            "telephone_number": "973-544-8901",
            "fax_number": "866-929-9843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELION KROK, M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-20",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "KROK",
        "authorized_official_first_name": "ELION",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "973-544-8901",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08957000",
            "primary": false
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMMC Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IMMC Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.