Organization Active NPI

Stephen a Kriso MD PA

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Wallington, NJ
National Provider Identifier
1295959781
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
21589 Issued in NJ
Legal business name
STEPHEN A KRISO MD PA
Practice address
44 Union Blvd
Wallington, NJ 07057-1219
Phone
(973) 779-3030
Fax
(973) 779-0225
NPI assigned
Apr 13, 2007
Last updated
Aug 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Authorized official

Name
Dr. Stephen Andrew Kriso, M.D.NPI 1922004654
Title
President
Phone
(973) 779-3030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0002X 21589 NJ Primary

Addresses

Primary practice location

44 Union Blvd
Wallington, NJ 07057-1219

Mailing address

44 Union Blvd
Wallington, NJ 07057-1219
Phone (973) 779-3030

National Provider Directory

National Provider Directory

Locations

44 Union Blvd
Wallington, NJ 07057
Phone (973) 779-3030

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1295959781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 UNION BLVD",
            "city": "WALLINGTON",
            "state": "NJ",
            "postal_code": "070571219",
            "telephone_number": "973-779-3030",
            "fax_number": "973-779-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 UNION BLVD",
            "city": "WALLINGTON",
            "state": "NJ",
            "postal_code": "070571219",
            "telephone_number": "973-779-3030",
            "fax_number": "973-779-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN A KRISO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "KRISO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-779-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NJ",
            "license": "21589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.