Organization Active NPI

Andrea J Frank D O P C

  • Internal Medicine Physician
  • Kenilworth, NJ
National Provider Identifier
1912187303
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MB50885 Issued in NJ
Legal business name
ANDREA J FRANK D O P C
Practice address
66 S 21St St
Kenilworth, NJ 07033-1626
Phone
(908) 276-4447
NPI assigned
Nov 14, 2007
Last updated
May 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Authorized official

Name
Dr. Andrea J Frank, DONPI 1538273354
Title
Owner
Phone
(908) 276-4447

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MB50885 NJ Primary

Addresses

Primary practice location

66 S 21St St
Kenilworth, NJ 07033-1626

Mailing address

66 S 21St St
Kenilworth, NJ 07033-1626
Phone (908) 276-4447

Other identifiers 1

IdentifierTypeStateIssuer
0067563MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1912187303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 S 21ST ST",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070331626",
            "telephone_number": "908-276-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 S 21ST ST",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070331626",
            "telephone_number": "908-276-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA J FRANK D O P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-276-4447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MB50885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0067563",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenilworth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.