Provider Demographics
NPI:1114016383
Name:INTEGRATIVE MEDICINE ASSOCIATES, PC
Entity Type:Organization
Organization Name:INTEGRATIVE MEDICINE ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RADU
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAMER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-967-0800
Mailing Address - Street 1:ONE SEARS DRIVE 3RD FLOOR
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-3510
Mailing Address - Country:US
Mailing Address - Phone:201-967-0800
Mailing Address - Fax:201-967-0811
Practice Address - Street 1:ONE SEARS DRIVE 3RD FLOOR
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-3510
Practice Address - Country:US
Practice Address - Phone:201-967-0800
Practice Address - Fax:201-967-0811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ11230251OtherRAILROAD MEDICARE
4121522OtherCIGNA
0742226000OtherAMERIHEALTH
NJBP503OtherOXFORD
5508004OtherAETNA
6010859OtherGHI
NJ3K8121OtherHEALTHNET
NJ3K8121OtherHEALTHNET
6010859OtherGHI