Individual provider Active NPI

Alexander Knihnicky, DO

  • Family Medicine Physician
  • Millburn, NJ
National Provider Identifier
1295141448
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB10117000 Issued in NJ
Practice address
225 Millburn Ave Ste 303
Millburn, NJ 07041-1712
Phone
(973) 912-7273
Fax
(973) 912-7275
NPI assigned
Jul 9, 2014
Last updated
Sep 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB10117000 NJ Primary

Addresses

Primary practice location

225 Millburn Ave Ste 303
Millburn, NJ 07041-1712

Mailing address

465 South St Ste 200
Morristown, NJ 07960-6439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170719000528 NJ Practitioner - Family Practice 8224308580 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Pase Healthcare, PC CurrentSince Sep 6, 2020 Accepting new patients
Practice Associates Medical Group Family Medicine CurrentSince Jan 6, 2020 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Jul 1, 2017 Accepting new patients
NJ Gastro, LLC PastSince Sep 6, 2020 Accepting new patients

Locations

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

10 Exchange Pl
Fl 15
Jersey City, NJ 07302
Phone (201) 821-8900

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200

225 Millburn Ave
Ste 303
Millburn, NJ 07041
Phone (973) 379-7022

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

465 South St
Ste 200
Morristown, NJ 07960
Phone (973) 971-7130

Organizations & group practices 4

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1295141448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 SOUTH ST STE 200",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MILLBURN AVE STE 303",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411712",
            "telephone_number": "973-912-7273",
            "fax_number": "973-912-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIHNICKY",
        "first_name": "ALEXANDER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-09",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB10117000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, NJ

Sources for this page

Verify at the official NPI Registry.