Active NPIIndividual provider

Konstantin Krepkin, MD

Radiology, Diagnostic Radiology in Nutley, New Jersey

NPI Number1457669004
Practice location
20 High St, Nutley, NJ 07110-1132
Fax
973-284-6310
Last updated
July 25, 2016

Konstantin Krepkin is a Radiology, Diagnostic Radiology based in Nutley, NJ. Konstantin Krepkin practices in Nutley, NJ and has the professional credentials of MD. The NPI Number for Konstantin Krepkin is 1457669004 and holds a License No. 25MA09837400 (NJ). The current practice location address for Konstantin Krepkin is 20 High St, Nutley, NJ 07110-1132 and can be reached out via phone at 973-284-0020 and via fax at 973-284-6310.

Provider Profile Details

NPI Number
1457669004
Provider Name
Konstantin Krepkin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
20 High St, Nutley, NJ 07110-1132
Phone Number
973-284-0020
Fax Number
973-284-6310
Primary Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X
Sole Proprietor
No
Provider Enumeration Date
September 16, 2010
Last Update Date
July 25, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 High St
Nutley, NJ 07110-1132
City
Nutley
Zip
07110-1132
Phone Number
973-284-0020
Fax Number
973-284-6310
Nutley, NJ 07110Get directions →

Provider Business Mailing Address Details

Address
777 Passaic Ave
Suite 360
Clifton, NJ 07012-1804
City
Clifton
State
NJ
Zip
07012-1804
Phone Number
973-284-0020

License Information

License Number
25MA09837400
License State
NJ
Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Konstantin Krepkin, MD?

The NPI number of Konstantin Krepkin, MD is 1457669004. It was assigned on September 16, 2010 and is currently active in the NPPES registry.

What is the specialty of Konstantin Krepkin, MD?

Konstantin Krepkin, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in NJ under license number 25MA09837400.

Where does Konstantin Krepkin, MD practice?

The practice location is 20 High St, Nutley, NJ 07110-1132. The office can be reached at 973-284-0020 (phone) or 973-284-6310 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457669004 directly on the NPPES registry website.

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