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CRESCENT INTERNAL MEDICINE GROUP, LLC
NPI 1790886885
Internal Medicine in Montclair, NJ

Active since September 25, 2006CLIA 31D1013070 · Waiver
29 THE CRESCENT, MONTCLAIR, NJ 07042(973) 783-0800(973) 744-1274 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crescent Internal Medicine Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRESCENT INTERNAL MEDICINE GROUP, LLC (NPI 1790886885) is a healthcare organization registered as an internal medicine in Montclair, New Jersey and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through May 28, 2027 and lists Edward Todd Krupp, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1790886885
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCRESCENT INTERNAL MEDICINE GROUP, LLC
Location Address29 THE CRESCENTMontclair, NJ 07042-2636
Mailing Address29 The CrescentMontclair, NJ 07042-2636 · (973) 783-0800 · Fax (973) 744-1274
Phone(973) 783-0800
Fax(973) 744-1274
Organization SubpartNo
Authorized OfficialEdward Todd KruppOwner/physician · (973) 783-0800
Enumeration DateSeptember 25, 2006
Last NPPES UpdateApril 20, 2008
✔ NPI 1790886885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MB071292
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
29 THE CRESCENT, Montclair, NJ 07042
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Other Identifiers 3

Medicare UPINH78008
OtherP00059104NJ · Railroad Medicare
Medicare PIN073514NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D1013070

Crescent Internal Medicine Group LLC · Montclair, NJ
Active · expires May 28, 2027
CLIA Number31D1013070
Laboratory TypePhysician Office
Certificate Effective DateMay 29, 2025
Certificate Expiration DateMay 28, 2027
Laboratory DirectorEdward T. Krupp Do
Laboratory Phone(973) 783-0800
Laboratory LocationCrescent Internal Medicine Group LLC98 Park Street, Montclair, NJ 07042
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EDWARD TODD KRUPP D.O.
Internal Medicine
29 THE CRESCENT
MONTCLAIR, NJ 07042
Essex County (973) 783-0800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crescent Internal Medicine Group, LLC's NPI number?

The NPI number for Crescent Internal Medicine Group, LLC is 1790886885. It was assigned to this organization in the NPPES registry on September 25, 2006.

Where is Crescent Internal Medicine Group, LLC located?

Crescent Internal Medicine Group, LLC is located at 29 The Crescent, Montclair, NJ 07042. The listed phone number is (973) 783-0800.

What is Crescent Internal Medicine Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Crescent Internal Medicine Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D1013070) is associated with this NPI, valid through May 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Crescent Internal Medicine Group, LLC was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.