Organization Active NPI

Stanley Klughaupt MD PA

  • Internal Medicine Physician
  • Belleville, NJ
National Provider Identifier
1033296926
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA33140 Issued in NJ
Legal business name
STANLEY KLUGHAUPT MD PA
Practice address
50 Newark Ave
Suite 306
Belleville, NJ 07109-1185
Phone
(973) 450-0220
Fax
(973) 450-0162
NPI assigned
Nov 1, 2006
Last updated
Apr 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

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

Authorized official

Name
Lovina Thadani
Title
Office Manager
Phone
(201) 447-4447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA33140 NJ Primary

Addresses

Primary practice location

50 Newark Ave
Suite 306
Belleville, NJ 07109-1185

Mailing address

50 Newark Ave
Suite 306
Belleville, NJ 07109-1185
Phone (973) 450-0220

Other identifiers 1

IdentifierTypeStateIssuer
7965401MedicaidNJ

National Provider Directory

National Provider Directory

Locations

50 Newark Ave
Belleville, NJ 07109
Phone (973) 450-0220

50 Newark Ave
Ste 306
Belleville, NJ 07109
Phone (973) 450-0220

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1033296926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 NEWARK AVE",
            "address_2": "SUITE 306",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091185",
            "telephone_number": "973-450-0220",
            "fax_number": "973-450-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NEWARK AVE",
            "address_2": "SUITE 306",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091185",
            "telephone_number": "973-450-0220",
            "fax_number": "973-450-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY KLUGHAUPT MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "THADANI",
        "authorized_official_first_name": "LOVINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "201-447-4447"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA33140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7965401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.