Individual provider Active NPI

Malcolm Frank Kramer, DPM

  • Podiatrist
  • Lakewood, NJ
National Provider Identifier
1023016300
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
MD000983 Issued in NJ
Practice address
681 River Ave
Ste 2G
Lakewood, NJ 08701-5229
Phone
(732) 364-5522
Fax
(732) 364-6678
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X MD000983 NJ Primary

Addresses

Primary practice location

681 River Ave
Ste 2G
Lakewood, NJ 08701-5229

Mailing address

681 River Ave
Ste 2G
Lakewood, NJ 08701-5229
Phone (732) 364-5522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
983NJMDClinical Psychologist
MD000983NJMDPodiatrist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1023016300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 RIVER AVE",
            "address_2": "STE 2G",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015229",
            "telephone_number": "732-364-5522",
            "fax_number": "732-364-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 RIVER AVE",
            "address_2": "STE 2G",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015229",
            "telephone_number": "732-364-5522",
            "fax_number": "732-364-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "MALCOLM",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD000983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.