Active NPI
Patricia A. Schrader, M.D.
- Surgical Critical Care Physician
- Jersey City, NJ
National Provider Identifier
1033139779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- MA57630
- Practice address
- 355 Grand Street
Jersey City Medical Center, Dept. of S
Jersey City, NJ 07302 - Phone
- (201) 915-2451
- Fax
- (201) 915-2192
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | MA57630 | NJ | Primary |
Addresses
Primary practice location
355 Grand Street
Jersey City Medical Center, Dept. of S
Jersey City, NJ 07302
Mailing address
355 Grand Street Jersey
City Medical Center, Dept. of S
Jersey City, NJ 07302
Phone (201) 915-2451
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6387608 | Medicaid | NJ |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA57630 | NJ | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liberty Surgical Associates | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Jersey City, NJ
- NPI 1689606956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033139779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 GRAND STREET JERSEY",
"address_2": "CITY MEDICAL CENTER, DEPT. OF S",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "07302",
"telephone_number": "201-915-2451",
"fax_number": "201-915-2192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 GRAND STREET",
"address_2": "JERSEY CITY MEDICAL CENTER, DEPT. OF S",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "07302",
"telephone_number": "201-915-2451",
"fax_number": "201-915-2192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHRADER",
"first_name": "PATRICIA",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "NJ",
"license": "MA57630",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6387608",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.