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PHILLIP D. KRAMER MD
NPI 1053311233
Psychiatry & Neurology - Neurology in Edison, NJ

Active since July 28, 2005PECOS EnrolledAccepts Medicare Assignment
75.8/100
CMS Quality Rating
65 JAMES ST, EDISON, NJ 08820(732) 321-7010(732) 632-1584 Get Directions Write a Review

NPPES record last updated: April 3, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phillip D. Kramer Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILLIP D. KRAMER MD (NPI 1053311233) is an individual neurology provider in Edison, New Jersey, licensed in New Jersey (25MA06758800) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and is a graduate of University Of Connecticut School Of Medicine (1989).

NPPES Registry Identity

NPI1053311233
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NamePHILLIP D. KRAMERCredential: MD
Location Address65 JAMES STEdison, NJ 08820-3947
Mailing Address65 James StEdison, NJ 08820-3947 · (732) 321-7010 · Fax (732) 632-1584
Phone(732) 321-7010
Fax(732) 632-1584
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 1989
Enumeration DateJuly 28, 2005
Last NPPES UpdateApril 3, 2008
✔ NPI 1053311233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NJ · 25MA06758800
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
65 JAMES ST, Edison, NJ 08820
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Other Identifiers 3

Medicare UPINF94330
Medicaid8215707NJ
Medicare PIN017752AJBNJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Phillip D. Kramer Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113942814
PECOS Enrollment IDI20051012000127
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
19 services19 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08820 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.65
Promoting Interoperability100
Improvement Activities40
Cost50.69

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LAMA EL ZEIN M.D
Family Medicine
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7487
MARLINE SPENCER RN, MSN, NP-C
Nurse Practitioner (Gerontology)
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 744-5537
MARIA P MASIH MD
Family Medicine
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7487
KRISSA MATARLO-SMITH APN
Nurse Practitioner (Adult Health)
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7733
ASHLEY MARGARITONDO DPT
Physical Therapist
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7000
MICHAEL D. CALI MD
Emergency Medicine
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7000
STACEY JOU MD
Physical Medicine & Rehabilitation (Brain Injury Medicine)
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7070
MERARI SINGH APN
Nurse Practitioner
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillip Kramer's NPI number?

The NPI number for Phillip Kramer is 1053311233. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Phillip Kramer located?

Phillip Kramer practices at 65 James St, Edison, NJ 08820. The listed phone number is (732) 321-7010.

What is Phillip Kramer's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Phillip Kramer enrolled in Medicare?

Yes. Phillip Kramer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Phillip Kramer affiliated with any hospitals?

According to CMS data, Phillip Kramer is affiliated with Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Phillip Kramer was last updated on April 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.