Individual provider Active NPI

Karl W. Strom, MD

  • Surgery Physician
  • Glen Ridge, NJ
National Provider Identifier
1831249275
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA07725900 Issued in NJ
Practice address
123 Highland Ave
Glen Ridge, NJ 07028-1527
Phone
(973) 429-1200
Fax
(973) 429-7602
NPI assigned
Jan 10, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MA07725900 NJ Primary

Addresses

Primary practice location

123 Highland Ave
Glen Ridge, NJ 07028-1527

Mailing address

123 Highland Ave
Glen Ridge, NJ 07028-1527
Phone (973) 429-1200

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
I20040930000332 NJ Practitioner - General Surgery 6406825017 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montclair Surgical Associates PAGroup PAC ID 4789653627, 6 clinicians
Ea Health - New Jersey LLCGroup PAC ID 6103222039, 37 clinicians

Practice addresses (Care Compare)

123 Highland Ave
Suite 202
Glen Ridge, NJ 07028-1522
Phone (973) 429-7600

727 N Beers St
Holmdel, NJ 07733-1514
Phone (732) 739-5900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07725900NJMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ea Health - New Jersey LLC CurrentSince Mar 1, 2023 Accepting new patients
Montclair Surgical Associates, PA Surgery CurrentSince Dec 21, 2012 Accepting new patients
Stafford Surgical Specialists, LLC Surgery CurrentSince May 11, 2013 Accepting new patients
Mary Jane Warden, MD, PA Surgery Past Accepting new patients
Montclair Hospital LLC Past Accepting new patients

Locations

123 Highland Ave
Glen Ridge, NJ 07028
Phone (973) 746-7474

123 Highland Ave
Ste 202
Glen Ridge, NJ 07028
Phone (973) 429-7600

940 Main St
Hackensack, NJ 07601
Phone (201) 487-2273

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

201 W Passaic St
Ste 201
Rochelle Park, NJ 07662
Phone (201) 489-3980

Interoperability endpoints

  • Direct secure messaging: kstrom191136@ahs.direct-ci.com

Organizations & group practices 5

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 3

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831249275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 HIGHLAND AVE",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281527",
            "telephone_number": "973-429-1200",
            "fax_number": "973-429-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 HIGHLAND AVE",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281527",
            "telephone_number": "973-429-1200",
            "fax_number": "973-429-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROM",
        "first_name": "KARL",
        "middle_name": "W.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA07725900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ridge, NJ

Sources for this page

Verify at the official NPI Registry.