Leonid Kruglyak, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MC4655 Issued in NJ

Practice address

1199 Main Ave
Clifton, NJ 07011-2253

Phone

(973) 772-6425

Fax

(973) 772-6426

NPI assigned

Oct 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Center for Chiropractic and Rehabilitation, LLC

  • Physical Therapist
  • Clifton, NJ
  • NPI 1265578017

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215024278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112253",
            "telephone_number": "973-772-6425",
            "fax_number": "973-772-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112253",
            "telephone_number": "973-772-6425",
            "fax_number": "973-772-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUGLYAK",
        "first_name": "LEONID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC4655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P413627",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6616607",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "3129678",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Kravec, PHARMACIST RPH
• Eliezer Krohn
• Natan Krohn, M.D.
• Halina Krutak Krol, MD, LLC
• Ryszard Krol, M.D.
• Elizabeth M. Kuchar, MBA, ATC
• Yana Kuchynska, OD
• Walaa Kudeh
• Edward F Kugler, M.D.
• Hannah G Kulesa

• Chiropractor in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.