Individual provider Active NPI

Spencer D Kroll, MD

  • Internal Medicine Physician
  • Morganville, NJ
National Provider Identifier
1891738498
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA71411 Issued in NJ
Practice address
25 Kilmer Dr
Morganville, NJ 07751-1564
Phone
(732) 591-8840
Fax
(732) 591-2822
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA71411 NJ Primary

Addresses

Primary practice location

25 Kilmer Dr
Morganville, NJ 07751-1564

Mailing address

25 Kilmer Dr
Morganville, NJ 07751-1564
Phone (732) 591-8840

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040409000262 NJ Practitioner - Internal Medicine 3173517513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
George Washington University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

25 Kilmer Dr
Morganville, NJ 07751-1564
Phone (732) 591-8840

Hospital & facility affiliations

  • Visiting Nurse Association of Central Jersey Home Care and Hospice Home health agency, Toms River, NJ, CCN 317067
  • Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111
  • Raritan Bay Medical Center Hospital, Perth Amboy, NJ, CCN 310039
  • Saint Peter'S University Hospital Hospital, New Brunswick, NJ, CCN 310070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA71411NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kroll Medical Group Inc Internal Medicine CurrentSince Sep 27, 2016 Accepting new patients
Freehold Observationalist Physicians, PC Internal Medicine Past Accepting new patients
N Edward Gwozdz MD PC Past Accepting new patients

Locations

25 Kilmer Dr
Ste 215
Morganville, NJ 07751
Phone (732) 591-8840

25 Kilmer Dr
Morganville, NJ 07751
Phone (718) 720-8372

Interoperability endpoints

  • Direct secure messaging: skroll425242@direct.ahsys.org

Organizations & group practices 3

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1891738498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 KILMER DR",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511564",
            "telephone_number": "732-591-8840",
            "fax_number": "732-591-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 KILMER DR",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511564",
            "telephone_number": "732-591-8840",
            "fax_number": "732-591-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROLL",
        "first_name": "SPENCER",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA71411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganville, NJ

Sources for this page

Verify at the official NPI Registry.