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Deactivated NPI 1467429258 Deactivated / Inactive NPI Male Practitioner

Dr. Ivan Thomas Krohn , MD

General Practice • Pennsauken, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ivan Krohn has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 01, 2006
NPI Deactivation Date January 21, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Ivan Krohn, MD was a registered General Practice practicing in Pennsauken, NJ. Throughout an active medical career spanning 14 years, Dr. Krohn provided care at the practice location at 5521 WESTFIELD AVE until profile deactivation on 2020-01-21.

Practice Location & Contact Primary Location

Practice Address

5521 Westfield Ave

Pennsauken, NJ 081101820

Telephone 8566634060
Fax 8566637530
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Pennsauken, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Pennsauken, NJ (269 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NJ 25MA03609800

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Khai Huynh

Pharmacist

NPI 1730754813

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 21, 2020

Record deactivated on January 21, 2020

NPI Profile Active April 21, 2009

NPI status registered as active in NPPES database

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Updated Practice Location April 21, 2009

Registered at 5521 WESTFIELD AVE, PENNSAUKEN, NJ 081101820 (Tel: 8566634060)

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Updated Business Mailing Address April 21, 2009

Registered at 5521 WESTFIELD AVE, PENNSAUKEN, NJ 081101820 (Tel: 8566634060)

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Provider Name / Credentials Updated April 21, 2009

Recorded as IVAN KROHN, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2009

General Practice (License #25MA03609800 in NJ)

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Initial NPI Registration & Enumeration March 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467429258
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 01, 2006
Last Update: April 21, 2009
Deactivation Date: January 21, 2020

Mailing Address

5521 Westfield Ave

Pennsauken, NJ 081101820

Phone: 8566634060

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.