PAUL C KRISA, M.D, PA


Address: 1135 Broad St, Suite 205, Clifton, NJ 07013-3346
Phone: 9734718850

PAUL C KRISA, M.D, PA (NPI# 1922139559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922139559
Entity Type Organization
Organization Name PAUL C KRISA, M.D, PA
Practice Address 1135 Broad St
Suite 205
Clifton
NJ 07013-3346
Practice Telephone 9734718850
Practice Fax Number 9734715232
Mailing Telephone 9734718850
Mailing Fax Number 9734715232
Enumeration Date 2007-03-07
Last Update Date 2009-10-13
Authorized Official Name DR. PAUL C KRISA (OWNER)
Authorized Official Telephone 9734718850
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 42876 NJ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ 3290701 05
NJ NPI 1588608525 01

Office Location

Street Address 1135 BROAD ST
SUITE 205
City CLIFTON
State NJ
Zip Code 07013-3346

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003869702 Diane M Allegra Family Medicine 1135 Broad St, Suite 201, Clifton, NJ 07013-3346 2006-05-17
1073095345 Sonu Hitesh Gandhi Physical Therapist 1135 Broad St, Clifton, NJ 07013-3346 2018-09-04
1932627254 Raymond Nguyen Occupational Therapist 1135 Broad St, Clifton, NJ 07013-3346 2017-09-07
1164973921 Kelly Siss Speech-Language Pathologist 1135 Broad St, Clifton, NJ 07013-3346 2016-10-17
1558738591 Allison Marie Finn Physical Therapist 1135 Broad St, Clifton, NJ 07013-3346 2015-08-25
1538542949 Christine Leroy Family Medicine 1135 Broad St, Clifton, NJ 07013 2015-07-02
1881028637 Anthony Vincent Costella Physical Therapist 1135 Broad St, Suite 101, Clifton, NJ 07013-3346 2013-08-29
1699115717 Tom Murikan Family Medicine 1135 Broad St, Clifton, NJ 07013-3346 2013-07-03
1316202542 Michael Schwarz Internal Medicine LLC Internal Medicine 1135 Broad St, Suite 205, Clifton, NJ 07013-3346 2012-07-13
1487918637 Kunjal Patel Student in an Organized Health Care Education/Training Program 1135 Broad St, Clifton, NJ 07013-3346 2012-07-02
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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952864084 James Reichman Internal Medicine 50 Virginia Ave, Clifton, NJ 07012-1223 2019-04-06
1801389903 Sonja Abbassi Md Internal Medicine 1618 Main Avenue, 1618 Main Avenue, Clifton, NJ 07011 2018-06-13
1811389240 Golden Medical Group PC Internal Medicine 9 Collura Ln, Clifton, NJ 07012-1659 2015-02-23
1588066260 Fk Medical Consults LLC Internal Medicine 721 Clifton Ave Ste 2d, Clifton, NJ 07013-1880 2014-09-24
1659771731 Domingo Yang Jr Md PC Internal Medicine 51 Noll Ter, Clifton, NJ 07013-3913 2014-08-26
1336444777 Angel Ramon De La Cruz Internal Medicine 1137 Main Ave, Clifton, NJ 07011-2386 2011-01-16
1811228901 Ravinder M. Narang Md Pa Internal Medicine 721 Clifton Ave., 1c, Clifton, NJ 07013-1880 2010-01-29
1376871202 Rafath Khatoon Humera Internal Medicine 535 Getty Ave, Suite-3(park Ave Medical Center), Clifton, NJ 07011-2105 2009-12-04
1710047733 Florencio Vinalon Llacuna Jr. Internal Medicine 1100 Clifton Avenue, Clifton, NJ 07013 2006-12-11
1588758809 Muhammad Tahir Selevany Internal Medicine 1003 Main Ave, Clifton, NJ 07011-2333 2006-10-03
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Competitor

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City CLIFTON
Zip Code 07013

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Dataset Information

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.

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