Individual provider Active NPI

Emily Abra Eyerkuss, D.O.

  • Pediatrics Physician
  • Red Bank, NJ
National Provider Identifier
1699214759
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MB10371800 Issued in NJ
Practice address
231 Maple Ave
Red Bank, NJ 07701-1745
Phone
(732) 945-8600
Fax
(732) 945-8700
NPI assigned
Feb 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MB10371800 NJ Primary

Addresses

Primary practice location

231 Maple Ave
Red Bank, NJ 07701-1745

Mailing address

231 Maple Ave
Red Bank, NJ 07701-1745
Phone (732) 945-8600

Other names 1

  • Dr. Emily Abra Krauss Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220628003857 NJ Practitioner - Pediatric Medicine 7517347115 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB10371800NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ima Urgent Care Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: eeyerkuss57685@epicdirect.rwjbh.org
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71872

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1699214759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 MAPLE AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011745",
            "telephone_number": "732-945-8600",
            "fax_number": "732-945-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 MAPLE AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011745",
            "telephone_number": "732-945-8600",
            "fax_number": "732-945-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYERKUSS",
        "first_name": "EMILY",
        "middle_name": "ABRA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-21",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB10371800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "KRAUSS",
            "middle_name": "ABRA",
            "prefix": "DR.",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.