Provider Demographics
NPI:1477741106
Name:DAVID KRAUSSE DPM LLC
Entity Type:Organization
Organization Name:DAVID KRAUSSE DPM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAUSSE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:908-788-5317
Mailing Address - Street 1:170 ROUTE 31
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-5756
Mailing Address - Country:US
Mailing Address - Phone:908-788-5317
Mailing Address - Fax:908-788-0899
Practice Address - Street 1:170 ROUTE 31
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-5756
Practice Address - Country:US
Practice Address - Phone:908-788-5317
Practice Address - Fax:908-788-0899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD002621213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8617104Medicaid
NJ1356345912OtherNPI
NJ6695330001Medicare NSC
NJ1356345912OtherNPI