Active NPI
Joel Ethan Krachman, D.O.
- Gastroenterology Physician
- Somers Point, NJ
National Provider Identifier
1467529792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MB51598
- Practice address
- 408 Bethel Rd
Suite E
Somers Point, NJ 08244-2172 - Phone
- (609) 926-3330
- Fax
- (609) 926-9033
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MB51598 | NJ | Primary |
Addresses
Primary practice location
408 Bethel Rd
Suite E
Somers Point, NJ 08244-2172
Mailing address
408 Bethel Rd
Point Commons Suite E
Somers Point, NJ 08244
Phone (609) 926-3330
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 723836 | Other | NJ | AMERIHEALTH |
| 4233970 | Other | NJ | AETNA |
| 5166209 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MB51598 | NJ | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Digestive Health, LLC | Gastroenterology | Past | Accepting new patients |
Interoperability endpoints
- joel.krachman@jerseyshoregastroenterologyassoc.chartmakerdirect.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Gastroenterology Physician
- West Long Beach, NJ
- NPI 1265831259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467529792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 BETHEL RD",
"address_2": "POINT COMMONS SUITE E",
"city": "SOMERS POINT",
"state": "NJ",
"postal_code": "08244",
"telephone_number": "609-926-3330",
"fax_number": "609-926-9033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 BETHEL RD",
"address_2": "SUITE E",
"city": "SOMERS POINT",
"state": "NJ",
"postal_code": "082442172",
"telephone_number": "609-926-3330",
"fax_number": "609-926-9033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRACHMAN",
"first_name": "JOEL",
"middle_name": "ETHAN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NJ",
"license": "MB51598",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "723836",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4233970",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5166209",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Somers Point, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.