Organization Active NPI

Skillman Cardiothoracic Surgery LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Skillman, NJ
National Provider Identifier
1336459247
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
SKILLMAN CARDIOTHORACIC SURGERY LLC
Practice address
25 Dogwood LN
Skillman, NJ 08558-1302
Phone
(908) 507-9926
NPI assigned
Oct 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

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

Authorized official

Name
Dr. Tyrone James Krause, M.D.
Title
Surgeon
Phone
(908) 507-9926

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X Primary

Addresses

Primary practice location

25 Dogwood LN
Skillman, NJ 08558-1302

Mailing address

25 Dogwood LN
Skillman, NJ 08558-1302
Phone (908) 507-9926

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1336459247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 DOGWOOD LN",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "085581302",
            "telephone_number": "908-507-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 DOGWOOD LN",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "085581302",
            "telephone_number": "908-507-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLMAN CARDIOTHORACIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-13",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "KRAUSE",
        "authorized_official_first_name": "TYRONE",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "908-507-9926",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skillman, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.