Charles J. Kronengold, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA02885900 Issued in NJ

Practice address

22 Old Short Hills Rd Ste 111
Livingston, NJ 07039-5605

Phone

(973) 992-5005

Fax

(973) 992-5024

NPI assigned

Nov 24, 2006

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charles.kronengoldmd.p1@direct.nnjei.nextgenshare.com

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.

• Charles J Kronengold, M.D., P.a.

  • Ophthalmic Technician/Technologist
  • Livingston, NJ
  • NPI 1578859195
  NPD Authorized official

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1679648596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 OLD SHORT HILLS RD STE 111",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395605",
            "telephone_number": "973-992-5005",
            "fax_number": "973-992-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 OLD SHORT HILLS RD STE 111",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395605",
            "telephone_number": "973-992-5005",
            "fax_number": "973-992-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRONENGOLD",
        "first_name": "CHARLES",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA02885900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boris G Kouanang, CRNA
• John Milan Kozar, DDS
• Samantha Marie Kratochvil, PA-C
• Abbott J Krieger, M.D.
• William S Kritzberg, M.D.
• Jessica Kronyak
• Jason Anthony Krystofiak, MD
• Amita Kulkarni
• Renuka S Kulkarni, MD
• Anita Kumari, MD

• All providers in Livingston, NJ
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.