Active NPI
David J Strader, MD
- Pediatrics Physician
- Caldwell, NJ
National Provider Identifier
1306931787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA04997100
- Practice address
- 80 Bloomfield Avenue
Second Floor
Caldwell, NJ 07006-5342 - Phone
- (973) 618-9990
- Fax
- (973) 618-9991
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA04997100 | NJ | Primary |
Addresses
Primary practice location
80 Bloomfield Avenue
Second Floor
Caldwell, NJ 07006-5342
Mailing address
PO Box 95000 LB# 7550
Philadelphia, PA 19195-7550
Phone (844) 362-1735
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1K3416 | Other | NJ | HEALTHNET |
| P414950 | Other | NJ | OXFORD |
| 4274162 | Other | NJ | AETNA |
| 223685542 | Other | NJ | TAX ID |
| 836002 | Other | NJ | UNITED HEALTHCARE |
| 23E181 | Other | NJ | EMPIRE |
| 413847 | Other | NJ | CIGNA |
| J7678 | Other | NJ | HORIZON MANAGED CARE |
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 |
|---|---|---|---|
| 25MA04997100 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Verona Pediatrics | Pediatrics | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Caldwell, NJ
- NPI 1700032372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538352000000",
"number": "1306931787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95000 LB# 7550",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191957550",
"telephone_number": "844-362-1735",
"fax_number": "973-290-7495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 BLOOMFIELD AVENUE",
"address_2": "SECOND FLOOR",
"city": "CALDWELL",
"state": "NJ",
"postal_code": "070065342",
"telephone_number": "973-618-9990",
"fax_number": "973-618-9991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRADER",
"first_name": "DAVID",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2018-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA04997100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "1K3416",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P414950",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4274162",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "223685542",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "836002",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE",
"identifier": "23E181",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "413847",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON MANAGED CARE",
"identifier": "J7678",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Caldwell, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.