Provider Demographics
NPI:1992706733
Name:KAUR, BIRINDER J (MD)
Entity type:Individual
Prefix:
First Name:BIRINDER
Middle Name:J
Last Name:KAUR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:378 PLAZA RD N
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-3639
Mailing Address - Country:US
Mailing Address - Phone:201-670-7557
Mailing Address - Fax:866-332-4110
Practice Address - Street 1:1200 E RIDGEWOOD AVE
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450
Practice Address - Country:US
Practice Address - Phone:201-670-7557
Practice Address - Fax:866-332-4110
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002283207R00000X
NJMA07290200207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8671401Medicare PIN
NYH49729Medicare UPIN