MAUREEN A. RICKERHAUSER-KRALL (NPI# 1700924727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700924727 |
| Entity Type | Individual |
| Full Name | MAUREEN A. RICKERHAUSER-KRALL |
| Credential | M.D. |
| Practice Address |
150 Bergen St Pediatric E.r Newark NJ 07103-2496 |
| Mailing Address |
30 Bergen St Admc 12 1205 Newark NJ 07107-3000 |
| Practice Telephone | 9739725139 |
| Practice Fax Number | 9739725965 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2009-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
25MA04439000 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 1257609 | 05 |
| Street Address |
150 BERGEN ST PEDIATRIC E.R |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103-2496 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427052232 | Cherie Anne Burke | Registered Nurse | 150 Bergen St, Newark, NJ 07103-2496 | 2005-06-09 |
| 1235739269 | Rebecca Kim | Pharmacist | 150 Bergen St, Newark, NJ 07103-2496 | 2020-10-28 |
| 1033719513 | Suilon Ng | Student in an Organized Health Care Education/Training Program | 150 Bergen St, Newark, NJ 07103-2496 | 2020-10-26 |
| 1801494539 | Brenda Borba | Dietitian, Registered | 150 Bergen St, Newark, NJ 07103-2496 | 2020-10-14 |
| 1881207454 | Eloy Francisco Ruiz Mendoza | Student in an Organized Health Care Education/Training Program | 150 Bergen St, Newark, NJ 07103-2496 | 2020-08-24 |
| 1396368437 | Jacqueline E. Baron | Student in an Organized Health Care Education/Training Program | 150 Bergen St, Newark, NJ 07103-2496 | 2020-05-23 |
| 1235751512 | Jacklyn A Johnson | Student in an Organized Health Care Education/Training Program | 150 Bergen St, Newark, NJ 07103-2496 | 2020-05-10 |
| 1427679299 | Krishna Gandhi | Nurse Practitioner | 150 Bergen St, Newark, NJ 07103-2496 | 2020-05-02 |
| 1689294399 | Danielle Marie Lion | Registered Nurse | 150 Bergen St, Newark, NJ 07103-2496 | 2020-04-22 |
| 1902426893 | Saahil A Jumkhawala | Student in an Organized Health Care Education/Training Program | 150 Bergen St, Newark, NJ 07103-2496 | 2020-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
| Find all providers in zip 07103 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003038027 | Catherine Anne Scarfi | Pediatrics | Newark Beth Israel Medical Center- Emergency Medicine, 201 Lyons Ave. Dept. D11 (emergency Medicine), Newark, NJ 07112-0000 | 2007-05-02 |
| 1477844827 | Uchechi Azubuine | Pediatrics | 201 Lyons Ave, Newark, NJ 07112-2027 | 2011-04-20 |
| 1750508149 | Maria Theresa Alvarez-ballway | Pediatrics | 150 Bergen St, Pediatric E.r, Newark, NJ 07103-2496 | 2007-04-19 |
| 1033246897 | Ellen Monahan | Pediatrics | 150 Bergen St, Pediatric E.r., Newark, NJ 07103-2496 | 2007-02-28 |
| 1518008960 | Robert Louis Barricella | Pediatrics | 150 Bergen St, Pediatric E.r., Newark, NJ 07103-2496 | 2007-02-09 |
| 1255479580 | Katherine Baranowski | Pediatrics | 150 Bergen St, Pediatric E.r., Newark, NJ 07103-2496 | 2007-02-01 |
| 1053463810 | Tyrone K. Reyes | Pediatrics | 150 Bergen St, Pediatric E.r., Newark, NJ 07103-2496 | 2007-01-18 |
| 1275602906 | Beatriz C Arpayoglou | Pediatrics | 150 Bergen St, Pediatric E.r., Newark, NJ 07103-2496 | 2006-11-07 |
| 1114958451 | Noah Praveen Kumar Kondamudi | Pediatrics | 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225371404 | Prerna Trivedy | Pediatrics | 1 Robert Wood Johnson Pl # Place342, New Brunswick, NJ 08901-1928 | 2013-04-05 |
| 1467848622 | Praneetha Chaganti | Pediatrics | 30 Prospect Ave, Hackensack, NJ 07601 | 2015-04-14 |
| 1588084404 | Nisha Polavarapu | Pediatrics | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2014-04-17 |
| 1023433794 | Minh-tu Do | Pediatrics | 1 Robert Wood Johnson Pl, Meb 342, New Brunswick, NJ 08901 | 2014-03-04 |
| 1174966816 | Sondra Maureen Nemetski | Pediatrics | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2013-04-11 |
| 1124361878 | Tina Dhebaria | Pediatrics | 1945 Route 33, Neptune, NJ 07753 | 2013-04-01 |
| 1679812630 | Kpuc, LLC | Pediatrics | 530 Green St, Suite 100, Iselin, NJ 08830-2654 | 2013-02-11 |
| 1427315068 | Christina Melchionne Miseo | Pediatrics | 100 Madison Ave, Morristown, NJ 07960-6136 | 2012-04-20 |
| 1831227875 | Ambrin Hussain-rizvi | Pediatrics | 703 Main St, Paterson, NJ 07503-2621 | 2007-03-01 |
| 1285795229 | Joseph Reich | Pediatrics | 1 Robert Wood Johnson Pl, Robert Wood Johnson University Hospital - New Brunswick, New Brunswick, NJ 08901-1928 | 2006-12-13 |
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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.