Individual provider Active NPI

Ernest Marshall Krajcik

  • Other Technician
  • East Granby, CT
National Provider Identifier
1992619209
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
License
LNRE10020667 Issued in MA
Practice address
26 Aspen Rise
East Granby, CT 06026-9413
Phone
(203) 868-1612
NPI assigned
Oct 1, 2026
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X LNRE10020667 MA Primary

Addresses

Primary practice location

26 Aspen Rise
East Granby, CT 06026-9413

Mailing address

26 Aspen Rise
East Granby, CT 06026-9413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1992619209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 ASPEN RISE",
            "city": "EAST GRANBY",
            "state": "CT",
            "postal_code": "060269413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 ASPEN RISE",
            "city": "EAST GRANBY",
            "state": "CT",
            "postal_code": "060269413",
            "telephone_number": "203-868-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAJCIK",
        "first_name": "ERNEST",
        "middle_name": "MARSHALL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "MA",
            "license": "LNRE10020667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Granby, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.