Iris Erguder, MD
Individual provider Active NPI Family Medicine Physician · Oradell, NJ
NPI 1508095159 · NPPES record last updated Jan 9, 2020
Key facts
- NPI
- 1508095159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 25MA09173300 (NJ)
- Practice address
- 514 Kinderkamack Rd
Oradell, NJ 07649-1501 - Phone
- (201) 265-1159
- Fax
- (201) 262-4749
- NPI assigned
- Jul 3, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09173300 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holy Name Medical Center Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MA09173300 | NJ | Yes |
Addresses
Primary practice location
514 Kinderkamack Rd
Oradell, NJ 07649-1501
Mailing address
514 Kinderkamack Rd
Oradell, NJ 07649-1501
Phone (201) 265-1159
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0327247 | Medicaid | NJ |
Other providers in Oradell, NJ
- Dr. Guy E. Siraki DC
- Alexis Marie Driscoll
- Inna Druker
- Edna Viviana Echeverry
- Darryl Engel
- Vashonna Etienne
- Martin A. Fechner
- Michael Felber
- Jill Fellner
- Fertility Institute of NJ & Ny
All providers in Oradell, NJ · Family Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.