Piscataway Dunellen Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA04838300 Issued in NJ

Legal business name

PISCATAWAY DUNELLEN FAMILY PRACTICE

Practice address

24 Stelton Rd
Suite a
Piscataway, NJ 08854-2639

Phone

(732) 424-0440

Fax

(732) 424-0443

NPI assigned

Dec 13, 2010

Organization subpart

No

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

Authorized official

Name

Douglas Krohn, MDNPI 1891734471

Title

Physician

Phone

(732) 424-0440

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas Russell Krohn, MD

  • Family Medicine Physician
  • Piscataway, NJ
  • NPI 1891734471

  Family Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1831492909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 STELTON RD",
            "address_2": "SUITE A",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088542639",
            "telephone_number": "732-424-0440",
            "fax_number": "732-424-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 STELTON RD",
            "address_2": "SUITE A",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088542639",
            "telephone_number": "732-424-0440",
            "fax_number": "732-424-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PISCATAWAY DUNELLEN FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "KROHN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "732-424-0440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA04838300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Elaine Piez, BS, CNIM
• Shannon Edwige Pinchinat
• Marisa L Pirro, RN
• Piscataway Dental Group LLC
• Piscataway Dentist LLC
• Piscataway Endovascular Center LLC
• Piscataway Family Dental, P.a.
• Piscataway Healthcare PC
• Piscataway Medical Group
• Piscataway Pediatrics

• All providers in Piscataway, NJ
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.