Martin Koenigsberg D.O. PA.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB03362200 Issued in NJ

Legal business name

MARTIN KOENIGSBERG D.O. PA.

Practice address

19-03 Maple Ave
Ste2
Fair Lawn, NJ 07410-1553

Phone

(973) 556-5744

NPI assigned

Jul 8, 2008

Organization subpart

No

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

Authorized official

Name

Martin A Koenigsberg, D.O.

Title

President

Phone

(973) 556-5744

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1306009410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19-03 MAPLE AVE",
            "address_2": "SUITE 2",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101553",
            "telephone_number": "973-556-5744",
            "fax_number": "201-818-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19-03 MAPLE AVE",
            "address_2": "STE2",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101553",
            "telephone_number": "973-556-5744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN KOENIGSBERG D.O. PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "KOENIGSBERG",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-556-5744",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB03362200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0061638",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariya Markenzon, RDN
• Paul Joseph Markowitz, D.M.D.
• William Michael Marotta, LCSW
• Jo Ann T Marquez, OT
• Kyle Marsilio, PT, DPT
• Martin N Weiner, MD PA
• Melissa A Martinez
• Tina-Marie Martini, OTR
• Teresa Ann Martino, M.A
• Aleksandr Martirosov, D.O.

• Family Medicine Physician in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.