=====================================================
General NPI Number Information
=====================================================
NPI Number | 1609923432
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HARPREET KAUR MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/04/2007
-----------------------------------------------------
Last Update Date | 01/28/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 254 EASTON AVE DEPT OF NEONATOLOGY
-----------------------------------------------------
City | NEW BRUNSWICK
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08901-1766
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 732-745-8523
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 185 S ORANGE AVE SUITE F580.MEDICAL SCIENCE BUILDING
-----------------------------------------------------
City | NEWARK
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07103-2757
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-972-7903
-----------------------------------------------------
Fax | 973-972-7124
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208000000X
-----------------------------------------------------
Taxonomy Name | Pediatrics Physician
-----------------------------------------------------
License Number | 233394
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 2080N0001X
-----------------------------------------------------
Taxonomy Name | Neonatal-Perinatal Medicine Physician
-----------------------------------------------------
License Number | 25MA08624300
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------