DR. EVELYN KRAUT (NPI# 1669464657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669464657 |
| Entity Type | Individual |
| Full Name | DR. EVELYN KRAUT |
| Credential | MD |
| Practice Address |
18 Railroad Ave Suite 103 Rochelle Park NJ 07662-4105 |
| Mailing Address |
18 Railroad Ave Rochelle Park NJ 07662-4105 |
| Practice Telephone | 2019280748 |
| Practice Fax Number | 2012912328 |
| Mailing Telephone | 2012912323 |
| Mailing Fax Number | 2012912328 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2013-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 25MA04282800 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 388505 | 05 |
| Street Address |
18 RAILROAD AVE SUITE 103 |
| City | ROCHELLE PARK |
| State | NJ |
| Zip Code | 07662-4105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386646768 | George Michael Azzariti | Pediatrics | 18 Railroad Ave, Suite 103, Rochelle Park, NJ 07662-4105 | 2005-08-15 |
| 1417081068 | Mary Kathleen Thomas | Pediatrics | 18 Railroad Ave, Suite 103, Rochelle Park, NJ 07662 | 2007-03-15 |
| 1487723300 | Lisa M O'donnell | Pediatrics | 18 Railroad Ave, Suite 103, Rochelle Park, NJ 07662-4105 | 2006-11-07 |
| 1164509444 | Basil Bruno | Family Medicine | 18 Railroad Ave, Suite 103, Rochelle Park, NJ 07662-4105 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871152959 | In-session Psychotherapy Services, LLC | Marriage & Family Therapist | 151 W. Passaic Street, Office #30, Rochelle Park, NJ 07662 | 2019-06-11 |
| 1518409929 | Sensorywellness, LLC | Occupational Therapist | 336 West Passaic St, Rochelle Park, NJ 07662 | 2016-11-16 |
| 1083030076 | The Lasik Vision Institute LLC | Clinic/Center | 336 West Passaic Street, Suite 202, Rochelle Park, NJ 07662 | 2014-03-14 |
| 1023386869 | Criselda Pineda | Physical Therapist | 94 West Oldis Street, Rochelle Park, NJ 07662 | 2011-12-08 |
| 1205138500 | Jaehoon Chung | Internal Medicine | 216 Rout 17 North, Suite 201, Rochelle Park, NJ 07662 | 2010-11-19 |
| 1639355720 | Bergen Care Home Health, LLC | Home Health | 365 W. Passaic Street, Suite 115, Rochelle Park, NJ 07662 | 2008-01-18 |
| 1700977535 | Humberto Luis Martinez | Psychiatry & Neurology | 175 Rochelle Avenue, Unit 323, Rochelle Park, NJ 07662 | 2006-09-27 |
| 1982702700 | New Jersey Cvs Pharmacy LLC | Pharmacy | 150 Rochelle Ave, Rochelle Park, NJ 07662 | 2006-09-20 |
| 1437169745 | Thomas John Mazejy | Dentist | 5 W Passaic St, Rochelle Park, NJ 07662 | 2006-08-09 |
| 1851392435 | Leonardo Joseph Divagno | Internal Medicine | 216 Route 17 North Ste 201, Rochelle Park, NJ 07662 | 2005-08-09 |
| Find all providers in zip 07662 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386646768 | George Michael Azzariti | Pediatrics | 18 Railroad Ave, Suite 103, Rochelle Park, NJ 07662-4105 | 2005-08-15 |
| 1417081068 | Mary Kathleen Thomas | Pediatrics | 18 Railroad Ave, Suite 103, Rochelle Park, NJ 07662 | 2007-03-15 |
| 1487723300 | Lisa M O'donnell | Pediatrics | 18 Railroad Ave, Suite 103, Rochelle Park, NJ 07662-4105 | 2006-11-07 |
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|---|---|---|---|---|
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| 1205443611 | Advocare, LLC | Pediatrics | 225 Highway 35 Ste 102, Red Bank, NJ 07701-5919 | 2020-09-29 |
| 1205440401 | Panda Pediatrics LLC | Pediatrics | 2 Hart Ct, Titusville, NJ 08560-1519 | 2020-09-04 |
| 1346853546 | Nkpeds PC | Pediatrics | 126 Madison Ave, Hasbrouck Heights, NJ 07604-1309 | 2020-08-26 |
| 1619580107 | Anzule Navarrete | Pediatrics | 3196 John F Kennedy Blvd, Union City, NJ 07087 | 2020-08-25 |
| 1992316715 | Advocare, LLC | Pediatrics | 241 Molnar Dr Ste 202, Elmwood Park, NJ 07407-3200 | 2020-08-14 |
| 1841808516 | Brianna Ayala | Pediatrics | 402 Lakewood Rd, New Egypt, NJ 08533-2113 | 2020-07-20 |
| 1306465349 | Little Big Pediatrics | Pediatrics | 521 Van Houten Ave Ste 1a, Clifton, NJ 07013-2190 | 2020-04-09 |
| 1154954139 | Advocare, LLC | Pediatrics | 6611 Winchester Ave, Ventnor City, NJ 08406-2159 | 2020-02-18 |
| 1033742051 | Advocare, LLC | Pediatrics | 135 Jackson Rd Ste B, Medford, NJ 08055-9231 | 2020-02-18 |
| Find all providers with the same taxonomy | ||||
| City | ROCHELLE PARK |
| Zip Code | 07662 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.