Edward Todd Krupp (NPI# 1760583868, PAC ID# 0042118119) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1760583868 |
| PAC ID by PECOS | 0042118119 |
| Professional Enrollment ID | I20031229000116 |
| Full Name | Edward Todd Krupp |
| Organization Legal Name | CRESCENT INTERNAL MEDICINE GROUP, LLC |
| Address |
98 Park St Montclair NJ 07042-2929 |
| Phone Number | 9737830800 |
| Gender | M |
| Credential | DO |
| Medical School | UMDNJ NEW JERSEY SCHOOL OF OSTEO MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 8628067931 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310054 | HACKENSACKUMC MOUNTAINSIDE |
| Address | Phone | Organization |
|---|---|---|
| 98 Park St, Montclair, NJ 07042-2929 | 9737830800 | CRESCENT INTERNAL MEDICINE GROUP, LLC |
| Organization Legal Name | CRESCENT INTERNAL MEDICINE GROUP, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Abigail Pama | Nurse Practitioner | Crescent Internal Medicine Group, LLC | 98 Park St, Montclair, NJ 07042-2929 |
| Mamatha G Mohan | Internal Medicine | Crescent Internal Medicine Group, LLC | 98 Park St, Montclair, NJ 07042-2929 |
| Street Address |
98 PARK ST |
| City | MONTCLAIR |
| State | NJ |
| Zip | 07042-2929 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Abigail Pama | Nurse Practitioner | Crescent Internal Medicine Group, LLC | 98 Park St, Montclair, NJ 07042-2929 |
| Mamatha G Mohan | Internal Medicine | Crescent Internal Medicine Group, LLC | 98 Park St, Montclair, NJ 07042-2929 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arnaldo Apolito | Psychiatry | 80 Undercliff Rd, Montclair, NJ 07042-1718 | |
| Kristine T Kaufman | Physical Therapy | Varsha Pohuja LLC | 403 Claremont Ave, Montclair, NJ 07042-1801 |
| Patrick Dipaolo | Hematology/oncology | 781 Bloomfield Ave, Montclair, NJ 07042-1806 | |
| Shae Cali | Clinical Social Worker | 1 Upper Mountain Ave, Montclair, NJ 07042-1871 | |
| Robert Friedman | Clinical Social Worker | 30 Orange Rd, Montclair, NJ 07042-2110 | |
| Marisol Vazquez | Registered Dietitian Or Nutrition Professional | Back To Basics Nutrition Counseling, LLC | 8 Hillside Ave, Suite 207, Montclair, NJ 07042-2129 |
| Linda A Ditullio | Clinical Social Worker | 8 Hillside Ave, Suite 108 6, Montclair, NJ 07042-2129 | |
| Beth Dibiase Fiorarancio | Clinical Social Worker | 8 Hillside Ave, Suite 206, Montclair, NJ 07042-2129 | |
| Megan Marchaterre | Registered Dietitian Or Nutrition Professional | Back To Basics Nutrition Counseling, LLC | 8 Hillside Ave, Suite 207, Montclair, NJ 07042-2129 |
| Faith C Dunkel | Psychologist, Clinical | 8 Hillside Ave, Suite 108, Montclair, NJ 07042-2129 | |
| Find all physicians in zip 07042 | |||
| City | MONTCLAIR |
| Zip Code | 07042 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MONTCLAIR + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Edward Todd Krupp.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.