Active NPI
Regional Electrodiagnostics LLC
- General Practice Physician
- Lawrenceville, NJ
National Provider Identifier
1699238097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- REGIONAL ELECTRODIAGNOSTICS LLC
- Practice address
- 2141 US Highway 1
Lawrenceville, NJ 08648-4407 - Phone
- (267) 966-5812
- Fax
- (215) 860-7966
- NPI assigned
- Apr 11, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul M Kosmorsky, DO
- Title
- Owner
- Phone
- (267) 966-5812
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
2141 US Highway 1
Lawrenceville, NJ 08648-4407
Mailing address
303 Floral Vale Blvd
Yardley, PA 19067-5525
Phone (267) 966-5812
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554940800000",
"number": "1699238097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 FLORAL VALE BLVD",
"city": "YARDLEY",
"state": "PA",
"postal_code": "190675525",
"telephone_number": "267-966-5812",
"fax_number": "215-860-7933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2141 US HIGHWAY 1",
"city": "LAWRENCEVILLE",
"state": "NJ",
"postal_code": "086484407",
"telephone_number": "267-966-5812",
"fax_number": "215-860-7966"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGIONAL ELECTRODIAGNOSTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-11",
"last_updated": "2019-04-11",
"status": "A",
"authorized_official_last_name": "KOSMORSKY",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "267-966-5812",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.