Individual provider Active NPI

Ira M Strauss, MD

  • Nephrology Physician
  • Brick, NJ
National Provider Identifier
1225006927
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MA04787000 Issued in NJ
Practice address
150 Brick Blvd
Ste a
Brick, NJ 08723-4848
Phone
(732) 451-0063
Fax
(732) 451-0059
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 25MA04787000 NJ Primary

Addresses

Primary practice location

150 Brick Blvd
Ste a
Brick, NJ 08723-4848

Mailing address

150 Brick Blvd
Ste a
Brick, NJ 08723-4848
Phone (732) 451-0063

Other identifiers 1

IdentifierTypeStateIssuer
0759309MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110505000027 NJ Practitioner - Nephrology 6507776333 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Nephrology PA. Nephrology CurrentSince Jan 1, 1989 Accepting new patients
Shore Health Group, PC Past Accepting new patients
Kidney Care Centers Nephrology Past Accepting new patients

Locations

35 Beaverson Blvd
Ste 5C
Brick, NJ 08723
Phone (732) 219-0333

2100 State Route 33
Ste 15
Neptune, NJ 07753
Phone (732) 988-8228

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1225006927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BRICK BLVD",
            "address_2": "STE A",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234848",
            "telephone_number": "732-451-0063",
            "fax_number": "732-451-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BRICK BLVD",
            "address_2": "STE A",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234848",
            "telephone_number": "732-451-0063",
            "fax_number": "732-451-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUSS",
        "first_name": "IRA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA04787000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0759309",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.