Crescent Internal Medicine Group, LLC
Internal Medicine in Montclair, New Jersey
1790886885- Practice location
- 29 The Crescent, Montclair, NJ 07042-2636
- Phone
- 973-783-0800
- Fax
- 973-744-1274
- Last updated
- April 20, 2008
Crescent Internal Medicine Group, LLC is a healthcare organization based in Montclair, NJ. Crescent Internal Medicine Group, LLC practices in Montclair, NJ. The NPI Number for Crescent Internal Medicine Group, LLC is 1790886885 and holds a License No. 25MB071292 (NJ). The current practice location address for Crescent Internal Medicine Group, LLC 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
- 1790886885
- Provider Name
- Crescent Internal Medicine Group, LLC
- Provider Entity Type
- Organization
- Address
- 29 The Crescent, Montclair, NJ 07042-2636
- Phone Number
- 973-783-0800
- Fax Number
- 973-744-1274
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Edward Todd Krupp, DO · Owner/Physician · 973-783-0800
- Provider Enumeration Date
- September 25, 2006
- Last Update Date
- April 20, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 29 The Crescent
Montclair, NJ 07042-2636 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-2636
- Phone Number
- 973-783-0800
- Fax Number
- 973-744-1274
Provider Business Mailing Address Details
- Address
- 29 The Crescent
Montclair, NJ 07042-2636 - City
- Montclair
- State
- NJ
- Zip
- 07042-2636
- 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Crescent Internal Medicine Group, LLC?
The NPI number of Crescent Internal Medicine Group, LLC is 1790886885. It was assigned on September 25, 2006 and is currently active in the NPPES registry.
What is the specialty of Crescent Internal Medicine Group, LLC?
Crescent Internal Medicine Group, LLC is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MB071292.
Where does Crescent Internal Medicine Group, LLC 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 1790886885 directly on the NPPES registry website.