Active NPIIndividual provider

Dr. Kiran B Amesur, MD

Ophthalmology in Ridgewood, New Jersey

NPI Number1104900778
Practice location
947 Linwood Ave, Suite 2 South, Ridgewood, NJ 07450-2939
Fax
201-857-4752
Last updated
May 17, 2011

Kiran Bhagwan Amesur is an Ophthalmology based in Ridgewood, NJ. Kiran Bhagwan Amesur practices in Ridgewood, NJ and has the professional credentials of MD. The NPI Number for Kiran Bhagwan Amesur is 1104900778 and holds a License No. MA 07468300 (NJ). The current practice location address for Kiran Bhagwan Amesur is 947 Linwood Ave, Suite 2 South, Ridgewood, NJ 07450-2939 and can be reached out via phone at 201-857-4751 and via fax at 201-857-4752.

Provider Profile Details

NPI Number
1104900778
Provider Name
Kiran Bhagwan Amesur
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
947 Linwood Ave, Suite 2 South, Ridgewood, NJ 07450-2939
Phone Number
201-857-4751
Fax Number
201-857-4752
Primary Taxonomy
Ophthalmology · 207W00000X
Sole Proprietor
No
Provider Enumeration Date
October 24, 2006
Last Update Date
May 17, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
947 Linwood Ave
Suite 2 South
Ridgewood, NJ 07450-2939
Zip
07450-2939
Phone Number
201-857-4751
Fax Number
201-857-4752
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
947 Linwood Ave
Suite 2 South
Ridgewood, NJ 07450-2939
City
Ridgewood
State
NJ
Zip
07450-2939
Phone Number
201-857-4751
Fax Number
201-857-4752

License Information

License Number (1)
MA 07468300
License State (1)
NJ
Taxonomy (1)
Ophthalmology · 207W00000X · Primary
License Number (2)
213110
License State (2)
NY
Taxonomy (2)
Ophthalmology · 207W00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kiran B Amesur, MD?

The NPI number of Dr. Kiran B Amesur, MD is 1104900778. It was assigned on October 24, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Kiran B Amesur, MD?

Dr. Kiran B Amesur, MD is registered under the primary taxonomy Ophthalmology (code 207W00000X), licensed in NJ under license number MA 07468300.

Where does Dr. Kiran B Amesur, MD practice?

The practice location is 947 Linwood Ave, Suite 2 South, Ridgewood, NJ 07450-2939. The office can be reached at 201-857-4751 (phone) or 201-857-4752 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104900778 directly on the NPPES registry website.

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