Kathrin S Serrao MD LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

KATHRIN S SERRAO MD LLC

Practice address

1033 Clifton Ave
Suite 108
Clifton, NJ 07013

Phone

(973) 577-1995

Fax

(973) 577-2711

NPI assigned

Oct 27, 2022

Last updated

Oct 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kathrin Sandra Serrao, MDNPI 1386179620

Title

Owner

Phone

(973) 577-1995

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathrin Sandra Serrao, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Clifton, NJ
  • NPI 1386179620
  Medicare reassignment NPD Authorized official
• Dariusz Nowak, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Linden, NJ
  • NPI 1740200666
  NPD

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1174230312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 CLIFTON AVE",
            "address_2": "SUITE 108",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07013",
            "telephone_number": "973-577-1995",
            "fax_number": "973-577-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 CLIFTON AVE",
            "address_2": "SUITE 108",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07013",
            "telephone_number": "973-577-1995",
            "fax_number": "973-577-2711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 N Wood Ave",
            "address_2": "Suite 302",
            "address_purpose": "LOCATION",
            "city": "Linden",
            "state": "NJ",
            "postal_code": "070364173",
            "country_code": "US",
            "telephone_number": "908-925-3300 x102",
            "fax_number": "908-925-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KATHRIN S SERRAO MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "SERRAO",
        "authorized_official_first_name": "KATHRIN",
        "authorized_official_middle_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-577-1995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1386179620",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kathrin.serrao@lmgroup.eclinicaldirect.com",
            "affiliation": "Y",
            "endpointDescription": "kathrin.serrao@lmgroup.eclinicaldirect.com",
            "affiliationName": "LINDEN MEDICAL GROUP, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct email address",
            "address_1": "515 NORTH WOOD AVE",
            "address_2": "STE 302",
            "city": "LINDEN",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "07036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Devin R Karl, DC
• Caitlin Karosen, L.C.S.W.
• Fadi Karou, MD
• Mohamed Kassem, M.D.
• Kathleen Sauchelli Gordon DMD
• Karen Ann Kattwinkel, APN-C
• Avery Seth Katz, MD
• Pessllaya Katz, BCBA
• Deepjot Kaur Dhanjal, MED, LAC
• Kayne and Tuckman Dentists PA (Clifton Dental Associates)

• Endocrinology, Diabetes & Metabolism Physician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Endocrinology, Diabetes & Metabolism Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.