Individual provider Active NPI

Laurie Jeanne Krum, CRNFA, APN-C

  • Registered Nurse First Assistant
  • Paramus, NJ
National Provider Identifier
1720290604
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
081637 Issued in NJ
Practice address
204 Haase Ave
Paramus, NJ 07652-4508
Phone
(201) 265-2314
Fax
(201) 265-1431
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 081637 NJ Primary
Adult Health Nurse Practitioner 363LA2200X 26NJ00137000 NJ

Addresses

Primary practice location

204 Haase Ave
Paramus, NJ 07652-4508

Mailing address

204 Haase Ave
Paramus, NJ 07652-4508
Phone (201) 265-2314

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071119000375 NJ Practitioner - Nurse Practitioner 8628166006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mam Orthopaedics, PAGroup PAC ID 1254523863, 2 clinicians

Practice addresses (Care Compare)

17 Elm Ave
Hackensack, NJ 07601-4702
Phone (201) 968-0508

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
081637NJMDRegistered Nurse First Assistant
26NJ00137000NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mam Orthopaedics, PA Adult Health CurrentSince Dec 24, 2017 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1720290604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 HAASE AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524508",
            "telephone_number": "201-265-2314",
            "fax_number": "201-265-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 HAASE AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524508",
            "telephone_number": "201-265-2314",
            "fax_number": "201-265-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUM",
        "first_name": "LAURIE",
        "middle_name": "JEANNE",
        "credential": "CRNFA, APN-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NJ",
            "license": "081637",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00137000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.