Provider Demographics
NPI:1841234028
Name:KRAUSER, PAULA (MD)
Entity Type:Individual
Prefix:DR
First Name:PAULA
Middle Name:
Last Name:KRAUSER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 48270
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07101-4800
Mailing Address - Country:US
Mailing Address - Phone:201-818-9118
Mailing Address - Fax:
Practice Address - Street 1:2433 COUNTY HIGHWAY 516
Practice Address - Street 2:SUITE 3B
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857
Practice Address - Country:US
Practice Address - Phone:732-360-0287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03645000207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0393583000OtherAMERIHEALTH #
NJ6D0931OtherEMPIRE BCBS #
NJP963990OtherOXFORD #
NJ1139977OtherAETNA HMO ID #
NJ3K2136OtherHEALTHNET ID #
NJ4303097OtherAETNA PPO ID #
NJ4835506Medicaid
NJ0393583000OtherAMERIHEALTH #
NJ4303097OtherAETNA PPO ID #
NJE53514Medicare UPIN
NJ108286TDXMedicare PIN