Provider Demographics
NPI:1821105404
Name:KUSER PEDIATRICS LLC
Entity Type:Organization
Organization Name:KUSER PEDIATRICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:AMARISH
Authorized Official - Middle Name:
Authorized Official - Last Name:SHETH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-585-2200
Mailing Address - Street 1:1544 KUSER ROAD
Mailing Address - Street 2:SUITE C1
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619
Mailing Address - Country:US
Mailing Address - Phone:609-585-2200
Mailing Address - Fax:609-585-2206
Practice Address - Street 1:1544 KUSER ROAD
Practice Address - Street 2:SUITE C1
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619
Practice Address - Country:US
Practice Address - Phone:609-585-2200
Practice Address - Fax:609-585-2206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
01000219401OtherAMERICHOICE
2K2758OtherHEALTHNET
2697588OtherGHI
NJ5060907Medicaid
2144125001OtherKEYSTONE
2144125001OtherAMERIHEALTH
1047088OtherHORIZON NJ HEALTH
30010052OtherKEYSTONE MERCY
NJ5060907Medicaid