BRUCE H KRAUT (NPI# 1205836509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205836509 |
| Entity Type | Individual |
| Full Name | BRUCE H KRAUT |
| Credential | M.D. |
| Practice Address |
2500 Main St Lawrenceville NJ 08648-1600 |
| Mailing Address |
Po Box 6011 Lawrenceville NJ 08648-0011 |
| Practice Telephone | 6098960391 |
| Mailing Telephone | 6098960391 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2015-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 173000000X | Legal Medicine | ME68627 | FL | Other Service Providers |
| Y | 208000000X | Pediatrics | ME68627 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AVMED PROVIDER ID | 219764 | 01 |
| FL | BCBS PROVIDER ID | 27289 | 01 |
| FL | CIGNA PROVIDER ID | 1753755-007 | 01 |
| FL | DEA NUMBER | BK3963990 | 01 |
| FL | TAX ID | 593324260 | 01 |
| FL | 378073200 | 05 | |
| FL | AETNA PROVIDER ID | 5467014 | 01 |
| Street Address |
2500 MAIN ST |
| City | LAWRENCEVILLE |
| State | NJ |
| Zip Code | 08648-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811312523 | Andrew Kukla | Specialist/Technologist | 2500 Main St, Kennedy House, Lawrenceville, NJ 08648-1600 | 2014-03-04 |
| 1194948232 | Jason Joseph Larson | Specialist/Technologist | 2500 Main St, Lawrenceville, NJ 08648-1600 | 2007-04-10 |
| 1912020355 | Amanda Schindler | Specialist/Technologist | 2500 Main St, Lawrenceville, NJ 08648-1600 | 2007-04-09 |
| 1417070400 | Robin R. Karpf | Psychiatry & Neurology | 2500 Main St, The Lawrenceville School, Lawrenceville, NJ 08648-1600 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763531 | Medlife Diagnostic Laboratories | Clinical Medical Laboratory | 1717 Brunswick Ave, Lawrence Twp, NJ 08648 | 2020-06-03 |
| 1770137226 | Andrew Corato | Specialist/Technologist | Rider Sports Medicine 2083 Lawrenceville Road, Lawrenceville, NJ 08648 | 2019-08-01 |
| 1457832149 | St. Mary's Assisted Living | Assisted Living Facility | One Bishops' Drive, Lawrenceville, NJ 08648 | 2018-08-22 |
| 1255832341 | Alma Garcia | Social Worker | 9 Gordon Avenue, Lawrenceville, NJ 08648 | 2018-02-23 |
| 1548760804 | Lawrence Spine & Wellness Pa | Chiropractor | 558 Lawrence Square Blvd South, Lawrenceville, NJ 08648 | 2018-02-13 |
| 1982134722 | Cindy Johnson | Counselor | 8433 Town Court North, Lawrenceville, NJ 08648 | 2017-06-14 |
| 1306372719 | Adapt Performance and Rehab | Clinic/Center | 1080 Spruce Street, Suite A, Lawrence Township, NJ 08648 | 2017-05-04 |
| 1780123588 | Feliks Shtindler Md PC | Internal Medicine | 3450 Princeton Pike, Suite 120, Lawrenceville, NJ 08648 | 2017-02-14 |
| 1295272995 | Favorite Dentist, LLC | Dentist | 3100 Princeton Pk., Bldg 2 1st Floor, Lawrenceville, NJ 08648 | 2017-01-20 |
| 1508241803 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 21302 Cedar Court, Lawrenceville, NJ 08648 | 2015-07-28 |
| Find all providers in zip 08648 | ||||
| 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 |
|---|---|---|---|---|
| 1164066791 | Holly Savino | Pediatrics | 603 Old Norcross Rd Ste A, Lawrenceville, GA 30046-4315 | 2019-11-06 |
| 1972985356 | John Wesley Johnson | Pediatrics | 595 Hurricane Shoald Rd Nw, Suite 300, Lawrenceville, GA 30046 | 2015-06-23 |
| 1669887196 | Prathyusha Mididoddi | Pediatrics | 3685 Lawrenceville Hwy Ste 100, Lawrenceville, GA 30044-4152 | 2014-06-23 |
| 1306266176 | Megan Marie Kazi | Pediatrics | 595 Hurricane Shoals Rd Nw Ste 300, Lawrenceville, GA 30046-8762 | 2014-04-21 |
| 1144508862 | Kids Time Pediatrics of Gwinnett LLC | Pediatrics | 2695 Sugarloaf Pkwy, Suite 200, Lawrenceville, GA 30045-9456 | 2011-07-29 |
| 1801185533 | Dale Grant Knutson | Pediatrics | 1600 N Brown Rd, Lawrenceville, GA 30043-8141 | 2011-04-04 |
| 1912230590 | Irfan Kayaalp | Pediatrics | 65 Wiltshire Dr, Lawrenceville, NJ 08648-2584 | 2009-09-14 |
| 1558515395 | Jill Barbara Simone | Pediatrics | 44 Cold Soil Road, Lawrenceville, NJ 08648-5538 | 2008-11-06 |
| 1568664563 | Jill Overcash LLC | Pediatrics | 945 River Centre Place, Suite 200, Lawrenceville, GA 30043 | 2007-06-01 |
| 1568508539 | Lloyd M Hofer | Pediatrics | 2570 Riverside Dr., Lawrenceville, GA 30046-0897 | 2007-01-29 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 08648 |
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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.