1922109750 NPI number — ORNA H KRAUS P.T.

Table of content: ORNA H KRAUS P.T. (NPI 1922109750)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922109750 NPI number — ORNA H KRAUS P.T.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KRAUS
Provider First Name:
ORNA
Provider Middle Name:
H
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
P.T.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922109750
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/15/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
24 ELM STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HARRINGTON PARK
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07640
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
201-784-0123
Provider Business Mailing Address Fax Number:
201-784-0065

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
24 ELM STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HARRINGTON PARK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07640
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-784-0123
Provider Business Practice Location Address Fax Number:
201-784-0065
Provider Enumeration Date:
09/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  40QA00769200 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: P00428078 . This is a "RR MDCR #" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com