Organization Active NPI

Medicine & Nephrology Associates of Northwest Jersey, P.C.

  • Medical Specialty Clinic/Center
  • Hackettstown, NJ
National Provider Identifier
1154511509
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
MA07293000 Issued in NJ
Legal business name
MEDICINE & NEPHROLOGY ASSOCIATES OF NORTHWEST JERSEY, P.C.
Practice address
184 Mountain Ave
Hackettstown, NJ 07840-2412
Phone
(908) 684-4244
Fax
(908) 684-4344
NPI assigned
Jul 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Authorized official

Name
Dr. Krystine Swannick-Konopczynski, M.D.NPI 1518989037
Title
President
Phone
(908) 812-0815

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
Medical Specialty Clinic/Center 261QM2500X MA07293000 NJ Primary

Addresses

Primary practice location

184 Mountain Ave
Hackettstown, NJ 07840-2412

Mailing address

PO Box 764
Hackettstown, NJ 07840-0764
Phone (908) 684-4244

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.

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1154511509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 764",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078400764",
            "telephone_number": "908-684-4244",
            "fax_number": "908-684-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 MOUNTAIN AVE",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402412",
            "telephone_number": "908-684-4244",
            "fax_number": "908-684-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE & NEPHROLOGY ASSOCIATES OF NORTHWEST JERSEY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "SWANNICK-KONOPCZYNSKI",
        "authorized_official_first_name": "KRYSTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-812-0815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "MA07293000",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 31, 2007; 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.