Provider Demographics
NPI:1124399308
Name:ELION KROK, M.D. PC
Entity Type:Organization
Organization Name:ELION KROK, M.D. PC
Other - Org Name:IMMC HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ELION
Authorized Official - Middle Name:
Authorized Official - Last Name:KROK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-544-8901
Mailing Address - Street 1:993 PLEASANT VALLEY WAY
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-1801
Mailing Address - Country:US
Mailing Address - Phone:973-544-8901
Mailing Address - Fax:866-929-9843
Practice Address - Street 1:993 PLEASANT VALLEY WAY
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-1801
Practice Address - Country:US
Practice Address - Phone:973-544-8901
Practice Address - Fax:866-929-9843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-20
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08957000207R00000X
207RB0002X, 207RE0101X, 261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No207RB0002XAllopathic & Osteopathic PhysiciansInternal MedicineObesity MedicineGroup - Single Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Single Specialty