Individual provider Active NPI

Debra Kaufman Strauss, MD

  • Infectious Disease Physician
  • Pomona, NY
National Provider Identifier
1841294311
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
172338 Issued in NY
Practice address
11 Medical Park Dr
Ste 206
Pomona, NY 10970-3560
Phone
(845) 634-1871
Fax
(845) 354-4104
NPI assigned
Jun 11, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 172338 NY Primary
Infectious Disease Physician 207RI0200X MA57633 NJ

Addresses

Primary practice location

11 Medical Park Dr
Ste 206
Pomona, NY 10970-3560

Mailing address

PO Box 585
New City, NY 10956-0585
Phone (845) 634-1871

Other identifiers 2

IdentifierTypeStateIssuer
6120601MedicaidNJ
01286740MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060131000939 NY Practitioner - Infectious Disease 7911911797 Practice locations: Pomona, NY
I20091231000185 NJ Practitioner - Infectious Disease 7911911797 Practice locations: Paramus, NJ

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA57633NJMDInfectious Disease Physician
172338NYMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Debra K Strauss MD Infectious Disease Past Accepting new patients
Pulmonary Consultant PC Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1841294311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 585",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109560585",
            "telephone_number": "845-634-1871",
            "fax_number": "845-634-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MEDICAL PARK DR",
            "address_2": "STE 206",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703560",
            "telephone_number": "845-634-1871",
            "fax_number": "845-354-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUSS",
        "first_name": "DEBRA",
        "middle_name": "KAUFMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-11",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "172338",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "MA57633",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6120601",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01286740",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NY

Sources for this page

Verify at the official NPI Registry.