Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Crescent Internal Medicine Group, LLC

Organization Internal Medicine Physician · NPI 1790886885

Crescent Internal Medicine Group, LLC is an Internal Medicine Physician in Montclair, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

29 The Cres
Montclair, NJ 07042-2636
Phone: (973) 783-0800
Fax: (973) 744-1274
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 25MB071292 (NJ)

Record details

NPI number1790886885
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Krupp — Owner/Physician · (973) 783-0800
NPI enumeratedSeptember 25, 2006
Last updated in NPPESApril 20, 2008
Mailing address29 The Crescent, Montclair, NJ 07042-2636

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