Irene Grgurich Cergnul, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

234693 Issued in NY

Practice address

43 Progress St
Union, NJ 07083-8114

Phone

(908) 258-8765

NPI assigned

Oct 13, 2006

Last updated

Apr 7, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Irene G Cergnul Professional name

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: icergnul@montefioredirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Suburban Health Clinic of Toms River

  • Clinic/Center
  • Toms River, NJ
  • NPI 1043939754
  NPD
• Brick City Medical LLC

  • Methadone Clinic
  • Union, NJ
  • NPI 1164989091
  NPD (past)
• Montefiore Medical Center

  dba Comm Health Care Center, Comm Family Care Center, Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1659446680
  NPD (past)
• Montefiore Mount Vernon Hospital

  • General Acute Care Hospital
  • Mount Vernon, NY
  • NPI 1013345065
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1871683987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BOONTON AVE",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052941",
            "telephone_number": "973-261-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 PROGRESS ST",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070838114",
            "telephone_number": "908-258-8765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 Grand Concourse",
            "address_2": "16th floor",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104577606",
            "country_code": "US",
            "telephone_number": "718-518-5669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Main St",
            "address_purpose": "LOCATION",
            "city": "South Amboy",
            "state": "NJ",
            "postal_code": "088791142",
            "country_code": "US",
            "telephone_number": "855-648-6409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Mule Rd",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087555028",
            "country_code": "US",
            "telephone_number": "732-797-9944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CERGNUL",
        "first_name": "IRENE",
        "middle_name": "GRGURICH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NJ",
            "license": "25MA09726100",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "234693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "234693",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "25MA09726100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRENE",
            "last_name": "CERGNUL",
            "middle_name": "G",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Center for Family Support, New Jersey, Inc.
• Center for Family Support, New Jersey, Inc.
• Center for Family Support, New Jersey, Inc.
• Philip Ceraulo, DO
• Cerebral Palsy League Inc.
• Isabella Cestone
• Harmeet Chahil, PHARMD
• Marquis Chandler, LSW
• Vicki Ray-Ting Chang, PHARM.D.
• Jennifer Lou-Anna Chapman

• Family Medicine Physician in Union, NJ
• Providers in Union, 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 Apr 7, 2025; 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.