Active NPI
Kenneth James Janowski, DO
- Internal Medicine Physician
- Hackettstown, NJ
National Provider Identifier
1629017017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 59720
- Practice address
- 12 Country Meadow Rd
Hackettstown, NJ 07840-5205 - Phone
- (908) 850-6806
- Fax
- (908) 850-6815
- NPI assigned
- Jun 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 59720 | NJ | Primary |
Addresses
Primary practice location
12 Country Meadow Rd
Hackettstown, NJ 07840-5205
Mailing address
12 Country Meadow Rd
Hackettstown, NJ 07840-5205
Phone (908) 850-6806
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 758830SML | Other | NJ | MEDICARE - CORP ID |
| 6858601 | 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 |
|---|---|---|---|
| 59720 | NJ | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277856000000",
"number": "1629017017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 COUNTRY MEADOW RD",
"city": "HACKETTSTOWN",
"state": "NJ",
"postal_code": "078405205",
"telephone_number": "908-850-6806",
"fax_number": "908-850-6815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 COUNTRY MEADOW RD",
"city": "HACKETTSTOWN",
"state": "NJ",
"postal_code": "078405205",
"telephone_number": "908-850-6806",
"fax_number": "908-850-6815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANOWSKI",
"first_name": "KENNETH",
"middle_name": "JAMES",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-04",
"last_updated": "2010-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "59720",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - CORP ID",
"identifier": "758830SML",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6858601",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hackettstown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.