Eric Kruger, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA03500500 Issued in NJ

Practice address

256 County House Rd
Clarksboro, NJ 08020-1395

Phone

(856) 224-6979

Fax

(609) 939-0284

NPI assigned

Jan 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• County of Gloucester

  • Skilled Nursing Facility
  • Clarksboro, NJ
  • NPI 1447384680

  Adp of the SNF, Contracted Managing Employee

  CMS ownership

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.

• Eric Kruger MD LLC

  • Family Medicine Physician
  • Clarksboro, NJ
  • NPI 1790332278
  NPD Authorized official

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1487634952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 PINE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064111",
            "telephone_number": "609-923-4409",
            "fax_number": "609-939-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 COUNTY HOUSE RD",
            "city": "CLARKSBORO",
            "state": "NJ",
            "postal_code": "080201395",
            "telephone_number": "856-224-6979",
            "fax_number": "609-939-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUGER",
        "first_name": "ERIC",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA03500500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952102",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Devereux Foundation
• Eric Kruger MD LLC
• Family Foot & Ankle Care Center LLC
• Gerald Feigin, M.D.
• Mary Elizabeth Jasinski
• Mark Pandolfo, DC
• Merakey New Jersey
• Garrett Bruce Miller
• Miracle in Progress 3D and 4D Ultra
• Gerald Scott Orlando II, DO

• Family Medicine Physician in Clarksboro, NJ
• Providers in Clarksboro, 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 Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.