Active NPI
Stephen a Kriso MD PA
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Wallington, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- 21589
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | 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 DirectoryLocations
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.
-
- Internal Medicine Physician
- Wallington, NJ
- NPI 1922004654
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.