Healthcare Provider Details

I. General information

NPI: 1932269354
Provider Name (Legal Business Name): JAMES LARRY KUSNIERZ DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2006
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 PINE VALLEY WAY
FLORHAM PARK NJ
07932-2700
US

IV. Provider business mailing address

4 PINE VALLEY WAY
FLORHAM PARK NJ
07932-2700
US

V. Phone/Fax

Practice location:
  • Phone: 973-610-7364
  • Fax:
Mailing address:
  • Phone: 973-610-7364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number25MB03634200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: