Larisa Klots, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MB71358 Issued in NJ

Practice address

B3 Brier Hill CT
East Brunswick, NJ 08816-3330

Phone

(732) 254-1114

Fax

(732) 254-2247

NPI assigned

May 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Osteopathic Manipulative Medicine

Education

New York College of Osteo Medicine of New York Institute of Technology, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Larisa Klots DO Inc

  • Family Medicine Physician
  • E Brunswick, NJ
  • NPI 1649379181
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1053361550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BUFFALO RUN",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164078",
            "telephone_number": "732-254-1114",
            "fax_number": "732-254-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B3 BRIER HILL CT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163330",
            "telephone_number": "732-254-1114",
            "fax_number": "732-254-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOTS",
        "first_name": "LARISA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB71358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirschenbaum & Sieler LLC
• Jennifer Ashley Klein
• Kenneth S Klein, MD
• Richard Ashley Klein, M.D.
• Donna L Klitzman, MD
• Lisa H Knott, LAC
• Jay Koenigsberg
• Ronald Burton Kolber, MD
• Daniel Komoroski, PT
• David H. Koota, M.D.

• Family Medicine Physician in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.