Organization Active NPI

Roxana Kline MD LLC

  • Surgery Physician
  • Hackensack, NJ
National Provider Identifier
1033324082
Registry record updated Mar 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA06748600 Issued in NJ
Legal business name
ROXANA KLINE MD LLC
Practice address
332 Summit Ave
Hackensack, NJ 07601-1430
Phone
(201) 488-6445
Fax
(201) 488-6441
NPI assigned
May 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2010

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

Authorized official

Name
Dr. Roxana Kline, M.D.NPI 1215037981
Title
President
Phone
(201) 488-6445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 25MA06748600 NJ Primary

Addresses

Primary practice location

332 Summit Ave
Hackensack, NJ 07601-1430

Mailing address

332 Summit Ave
Hackensack, NJ 07601-1430
Phone (201) 488-6445

Other names 1

  • Summit Vascular Institute Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050420000206 NJ Part B Supplier - Clinic/Group Practice 7618915737 Receives reassigned benefits from 1 practitioner
Practice locations: Hackensack, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267920000000",
    "number": "1033324082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 SUMMIT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011430",
            "telephone_number": "201-488-6445",
            "fax_number": "201-488-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 SUMMIT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011430",
            "telephone_number": "201-488-6445",
            "fax_number": "201-488-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROXANA KLINE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-13",
        "last_updated": "2010-03-07",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "ROXANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-488-6445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA06748600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Vascular Institute",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.