Provider Demographics
NPI:1326036898
Name:KRAMER, RADU (MD)
Entity Type:Individual
Prefix:
First Name:RADU
Middle Name:
Last Name:KRAMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 KINDERKAMACK RD
Mailing Address - Street 2:SUITE 205N
Mailing Address - City:ORADELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07649-1534
Mailing Address - Country:US
Mailing Address - Phone:201-967-0800
Mailing Address - Fax:201-942-0492
Practice Address - Street 1:1 SEARS DR
Practice Address - Street 2:3RD FLOOR
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
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-10
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MAO4845000207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ110230251OtherRAILROAD MEDICARE
NJ3K8121OtherHEALTHNET
4121522OtherCIGNA
NJ6517307Medicaid
NJBP503OtherOXFORD
0742226000OtherAMERIHEALTH
5508004OtherAETNA
6010859OtherGHI
NJ3K8121OtherHEALTHNET
6010859OtherGHI