Tamar Ruth Kallus, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OA 005755 Issued in NJ

Practice address

106 Ferry St
Newark, NJ 07105-2106

Phone

(973) 589-8085

Fax

(973) 589-2891

NPI assigned

Oct 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104906015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 MAPLE ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313705",
            "telephone_number": "201-837-2061",
            "fax_number": "201-837-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 FERRY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071052106",
            "telephone_number": "973-589-8085",
            "fax_number": "973-589-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLUS",
        "first_name": "TAMAR",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA 005755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005126",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Kaleeny, DO
• Jaclyn Kaletski
• Kartik Rattan Kalia, MD
• Kalibat Drug Store
• Dimpi Kalira, M.D.
• Ogori N Kalu, MD
• Meena Kalyanaraman, MD
• Evelyne Kalyoussef, MD
• Peri Kamalakar, M.D.
• Jamila Kamara

• Optometrist in Newark, NJ
• Providers in Newark, NJ by specialty
• Optometrist in New Jersey

• 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.

Verify at the official NPI Registry.