NPIMap

Organization Active NPI

Kristine Gedroic M.D.LLC

  • Clinic/Center
  • Morristown, NJ
National Provider Identifier
1306035407
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
25MA08152100 Issued in NJ
Legal business name
KRISTINE GEDROIC M.D.LLC
Practice address
22 Elm St
Morristown, NJ 07960-8803
Phone
(973) 993-4445
Fax
(973) 993-4942
NPI assigned
Oct 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Dr. Kristine L Gedroic, MD
Title
President
Phone
(973) 993-4445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 25MA08152100 NJ Primary

Addresses

Primary practice location

22 Elm St
Morristown, NJ 07960-8803

Mailing address

22 Elm St
Morristown, NJ 07960-8803
Phone (973) 993-4445

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1306035407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 ELM ST",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079608803",
            "telephone_number": "973-993-4445",
            "fax_number": "973-993-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ELM ST",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079608803",
            "telephone_number": "973-993-4445",
            "fax_number": "973-993-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINE GEDROIC M.D.LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "GEDROIC",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-993-4445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "25MA08152100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.