CHARLES J KRONENGOLD, M.D., P.A.


Address: 22 Old Short Hills Rd Ste 111, Livingston, NJ 07039-5605
Phone: 9739925005

CHARLES J KRONENGOLD, M.D., P.A. (NPI# 1578859195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578859195
Entity Type Organization
Organization Name CHARLES J KRONENGOLD, M.D., P.A.
Practice Address 22 Old Short Hills Rd Ste 111
Livingston
NJ 07039-5605
Practice Telephone 9739925005
Practice Fax Number 9739925024
Mailing Telephone 9739925005
Mailing Fax Number 9739925024
Enumeration Date 2011-06-22
Last Update Date 2011-06-22
Authorized Official Name DR. CHARLES J KRONENGOLD (DOCTOR)
Authorized Official Telephone 9739925005
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1100X Technician/Technologist
Specialization: Ophthalmic
25MA02885900 NJ Eye and Vision Services Providers

Office Location

Street Address 22 OLD SHORT HILLS RD STE 111
City LIVINGSTON
State NJ
Zip Code 07039-5605

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679648596 Charles J. Kronengold Ophthalmology 22 Old Short Hills Rd Ste 111, Livingston, NJ 07039-5605 2006-11-24

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Taxonomy Information

Taxonomy Code 156FX1100X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Ophthalmic

Taxonomy Definition

Definition to come...

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Competitor

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City LIVINGSTON
Zip Code 07039

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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