Robert Eidus, M.D. P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA03034900 Issued in NJ

Legal business name

ROBERT EIDUS, M.D. P.A.

Doing business as

Cranford Family Practice

Practice address

123 N Union Ave
Suite 204
Cranford, NJ 07016-2198

Phone

(908) 272-7990

Fax

(908) 272-7970

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert Eidus, M.D.

Title

President

Phone

(908) 272-7990

Specialties & licenses 1

Addresses

Other names 1

• Cranford Family Practice Doing business as

Locations

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851483655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 N UNION AVE",
            "address_2": "SUITE 204",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N UNION AVE",
            "address_2": "SUITE 204",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162198",
            "telephone_number": "908-272-7990",
            "fax_number": "908-272-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT EIDUS, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EIDUS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-272-7990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA03034900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cranford Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Cranford, NJ
• Providers in Cranford, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.