Corinne Kauderer DPM, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

CORINNE KAUDERER DPM, LLC

Practice address

3 Hospital PLZ Ste 204
Old Bridge, NJ 08857-3084

Phone

(732) 414-1150

Fax

(718) 236-2020

NPI assigned

Jan 9, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Corinne R Kauderer, DPMNPI 1033112248

Title

Owner

Phone

(732) 414-1150

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Corinne R Kauderer, DPM

  • Foot Surgery Podiatrist
  • Brooklyn, NY
  • NPI 1033112248

  NJ

  Medicare reassignment NPD Authorized official
• Allan Goldfarb, DDS

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1679663652
  NPD (past)

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1306183413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7713 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282413",
            "telephone_number": "718-232-2100",
            "fax_number": "718-236-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HOSPITAL PLZ STE 204",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573084",
            "telephone_number": "732-414-1150",
            "fax_number": "718-236-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORINNE KAUDERER DPM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "KAUDERER",
        "authorized_official_first_name": "CORINNE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-414-1150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "272652",
            "identifier": "1306183413",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.