Provider Demographics
NPI:1689662165
Name:RAINEAR, KRISTEN (DO)
Entity Type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:
Last Name:RAINEAR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1076 E CHESTNUT AVENUE
Mailing Address - Street 2:PENN CARDIOLOGY VINELAND
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-5843
Mailing Address - Country:US
Mailing Address - Phone:856-692-7979
Mailing Address - Fax:856-794-9479
Practice Address - Street 1:1076 E CHESTNUT AVE
Practice Address - Street 2:PENN CARDIOLOGY VINELAND
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-5843
Practice Address - Country:US
Practice Address - Phone:856-692-7979
Practice Address - Fax:856-794-9479
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMB56674207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ005667400OtherBLACK LUNG
NJ1539751OtherMINEWORKERS
NJ959006OtherAMERIHEALTH PPO
NJ959006OtherKEYSTONE
NJJ001477OtherCHAMPUS
NJ0403613000OtherAMERIHEALTH
NJ2K0144OtherHEALTH NET
NJ4408498OtherAETNA MC
NJMB56674OtherHEALTH PARTNERS
NJ01000308300OtherAMERICHOICE
NJ83825OtherAMERIGROUP
NJ15572241OtherHORIZON
NJ5505607Medicaid
NJ580340OtherAETNA
NJ158725OtherFIRST HEALTH
NJ1947845OtherUNITED HEALTH CARE
NJP413668OtherOXFORD
NJMB56674OtherHEALTH PARTNERS
NJ5505607Medicaid