Individual provider Active NPI

Jon William Brunswick, M.D.

  • Internal Medicine Physician
  • Livingston, NJ
National Provider Identifier
1699949305
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MAO4099300 Issued in NJ
Practice address
9 Thurston Dr
Livingston, NJ 07039-2414
Phone
(973) 994-4694
Fax
(973) 625-6184
NPI assigned
Apr 15, 2008
Last updated
Apr 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MAO4099300 NJ Primary
Addiction Medicine (Internal Medicine) Physician 207RA0401X 25MAO4099300 NJ

Addresses

Primary practice location

9 Thurston Dr
Livingston, NJ 07039-2414

Mailing address

9 Thurston Dr
Livingston, NJ 07039-2414
Phone (973) 994-4694

Other names 1

  • Dr. Murray Las Professional name

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MAO4099300NJMDAddiction Medicine (Internal Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1699949305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 THURSTON DR",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070392414",
            "telephone_number": "973-994-4694",
            "fax_number": "973-625-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 THURSTON DR",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070392414",
            "telephone_number": "973-994-4694",
            "fax_number": "973-625-6184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNSWICK",
        "first_name": "JON",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MAO4099300",
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NJ",
            "license": "25MAO4099300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MURRAY",
            "last_name": "LAS",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.