Active NPIIndividual providerSole proprietor

Dr. Edward T Krupp, DO

Internal Medicine in Montclair, New Jersey

NPI Number1760583868
Practice location
29 The Crescent, Montclair, NJ 07042-2636
Fax
973-744-1274
Last updated
July 23, 2018

Edward Todd Krupp is an Internal Medicine based in Montclair, NJ. Edward Todd Krupp practices in Montclair, NJ and has the professional credentials of DO. The NPI Number for Edward Todd Krupp is 1760583868 and holds a License No. 25MB071292 (NJ). The current practice location address for Edward Todd Krupp is 29 The Crescent, Montclair, NJ 07042-2636 and can be reached out via phone at 973-783-0800 and via fax at 973-744-1274.

Provider Profile Details

NPI Number
1760583868
Provider Name
Edward Todd Krupp
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
29 The Crescent, Montclair, NJ 07042-2636
Phone Number
973-783-0800
Fax Number
973-744-1274
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 25, 2006
Last Update Date
July 23, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
29 The Crescent
Montclair, NJ 07042-2636
Zip
07042-2636
Phone Number
973-783-0800
Fax Number
973-744-1274
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
98 Park St
Montclair, NJ 07042-2929
City
Montclair
State
NJ
Zip
07042-2929
Phone Number
973-783-0800
Fax Number
973-744-1274

License Information

License Number
25MB071292
License State
NJ
Taxonomy
Internal Medicine · 207R00000X · 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 Dr. Edward T Krupp, DO?

The NPI number of Dr. Edward T Krupp, DO is 1760583868. It was assigned on September 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Edward T Krupp, DO?

Dr. Edward T Krupp, DO is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MB071292.

Where does Dr. Edward T Krupp, DO practice?

The practice location is 29 The Crescent, Montclair, NJ 07042-2636. The office can be reached at 973-783-0800 (phone) or 973-744-1274 (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 1760583868 directly on the NPPES registry website.

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