Active NPI
Susan Kaiser, M.D.
- Trauma Surgery Physician
- Jersey City, NJ
National Provider Identifier
1417988809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- 25MA07193600
- Practice address
- 377 Jersey Ave
Suite 220
Jersey City, NJ 07302-4393 - Phone
- (201) 309-2380
- Fax
- (201) 309-2381
- NPI assigned
- Jul 5, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Trauma Surgery Physician | 2086S0127X | 25MA07193600 | NJ | Primary |
Addresses
Primary practice location
377 Jersey Ave
Suite 220
Jersey City, NJ 07302-4393
Mailing address
Jersey City Medical Center 355 Grand Street
Department of Surgery 3 East
Jersey City, NJ 07302
Phone (201) 915-2451
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8474605 | Medicaid | NJ |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298592000000",
"number": "1417988809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "JERSEY CITY MEDICAL CENTER 355 GRAND STREET",
"address_2": "DEPARTMENT OF SURGERY 3 EAST",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "07302",
"telephone_number": "201-915-2451",
"fax_number": "201-915-2192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "377 JERSEY AVE",
"address_2": "SUITE 220",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073024393",
"telephone_number": "201-309-2380",
"fax_number": "201-309-2381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAISER",
"first_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2011-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "NJ",
"license": "25MA07193600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8474605",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.