Active NPI
Earl Kusnierz, DO
- Gynecology Physician
- Bloomfield, NJ
National Provider Identifier
1902985336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 25MB03913000
- Practice address
- 350 Bloomfield Ave
Suite 6
Bloomfield, NJ 07003-4897 - Phone
- (973) 743-4748
- NPI assigned
- Nov 5, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 25MB03913000 | NJ | Primary |
Addresses
Primary practice location
350 Bloomfield Ave
Suite 6
Bloomfield, NJ 07003-4897
Mailing address
350 Bloomfield Ave
Suite 6
Bloomfield, NJ 07003-4897
Phone (973) 743-4748
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081024000067 | NJ | Practitioner - Obstetrics/Gynecology | 9133287808 | Practice locations: Bloomfield, NJ |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB03913000 | NJ | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902985336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 BLOOMFIELD AVE",
"address_2": "SUITE 6",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070034897",
"telephone_number": "973-743-4748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 BLOOMFIELD AVE",
"address_2": "SUITE 6",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070034897",
"telephone_number": "973-743-4748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUSNIERZ",
"first_name": "EARL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NJ",
"license": "25MB03913000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.