Individual provider Active NPI

Chester Klimek

  • Foot & Ankle Surgery Podiatrist
  • Wallington, NJ
National Provider Identifier
1003294950
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00343800 Issued in NJ
Practice address
379 Main Ave Ste 3
Wallington, NJ 07057-1829
Phone
(201) 655-6617
NPI assigned
May 12, 2015
Last updated
Jun 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00343800 NJ Primary

Addresses

Primary practice location

379 Main Ave Ste 3
Wallington, NJ 07057-1829

Mailing address

1505 W Sherman Ave
Vineland, NJ 08360-7059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180802000383 NJ Practitioner - Podiatry 1052669314 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4 Quine St
Cranford, NJ 07016-3130
Phone (201) 655-6617

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue73
Removal of skin lesions53
Removal of nail tissue402
Removal or shaving of skin growth390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Active Foot & Ankle Care, LLC Foot & Ankle Surgery CurrentSince Jul 10, 2018 Accepting new patients
Kinetic Edge Foot & Ankle LLC Foot & Ankle Surgery CurrentSince Sep 6, 2020 Accepting new patients

Locations

4-14 Saddle River Rd
Ste 101
Fair Lawn, NJ 07410
Phone (201) 569-7672

379 Main Ave
Ste 3
Wallington, NJ 07057
Phone (201) 655-6617

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1003294950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 W SHERMAN AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 MAIN AVE STE 3",
            "city": "WALLINGTON",
            "state": "NJ",
            "postal_code": "070571829",
            "telephone_number": "201-655-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIMEK",
        "first_name": "CHESTER",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-12",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00343800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallington, NJ

Sources for this page

Verify at the official NPI Registry.