Organization Active NPI

David Krausse DPM LLC

  • Foot & Ankle Surgery Podiatrist
  • Flemington, NJ
National Provider Identifier
1477741106
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD002621 Issued in NJ
Legal business name
DAVID KRAUSSE DPM LLC
Practice address
170 Route 31
Flemington, NJ 08822-5756
Phone
(908) 788-5317
Fax
(908) 788-0899
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Authorized official

Name
Dr. David Krausse, DPMNPI 1356345912
Title
Owner/Physician
Phone
(908) 788-5317

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 25MD002621 NJ Primary

Addresses

Primary practice location

170 Route 31
Flemington, NJ 08822-5756

Mailing address

170 Route 31
Flemington, NJ 08822-5756
Phone (908) 788-5317

Other identifiers 2

IdentifierTypeStateIssuer
8617104MedicaidNJ
1356345912OtherNJNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071207000008 NJ Part B Supplier - Clinic/Group Practice 1759470230 Receives reassigned benefits from 1 practitioner
Practice locations: Flemington, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1477741106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 ROUTE 31",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225756",
            "telephone_number": "908-788-5317",
            "fax_number": "908-788-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 ROUTE 31",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225756",
            "telephone_number": "908-788-5317",
            "fax_number": "908-788-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID KRAUSSE DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "KRAUSSE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "908-788-5317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD002621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8617104",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1356345912",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.