Alan Michael Koenigsberg, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MA045786 Issued in NJ

Practice address

1140 Parsippany Blvd
Suite 102
Parsippany, NJ 07054-1880

Phone

(973) 263-0066

Fax

(973) 263-3160

NPI assigned

Feb 3, 2006

Last updated

Sep 22, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Parsippany Pediatrics LLC

  • Specialist
  • Parsippany, NJ
  • NPI 1699712570
  Authorized official Same address or phone

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1407828312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 PARSIPPANY BLVD",
            "address_2": "SUITE 102",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541880",
            "telephone_number": "973-263-0066",
            "fax_number": "973-263-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 PARSIPPANY BLVD",
            "address_2": "SUITE 102",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541880",
            "telephone_number": "973-263-0066",
            "fax_number": "973-263-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIGSBERG",
        "first_name": "ALAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA045786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura K Kistner, M.S., CCC-SLP
• Denise Kitay, DDS MMSC
• Alexa Jane Klapach, PA-C
• Jaclyn Koeck, LPC
• Devin Justine Koehler, BCBA
• Blazej Kossakowski, APN-C
• Lakshmi Ramya Kotha
• Stanley Kozek, PHARMD
• Jacqueline Krantz
• KS Care LLC

• Pediatrics Physician in Parsippany, NJ
• Providers in Parsippany, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.