Dr. Irving J. Klein,PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

25MB02059100 Issued in NJ

Legal business name

DR. IRVING J. KLEIN,PA

Practice address

237 Monmouth St
Gloucester City, NJ 08030-1718

Phone

(856) 456-0400

Fax

(856) 456-3011

NPI assigned

May 12, 2010

Last updated

May 12, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Irving Jay Klein, D.O.

Title

Chairman

Phone

(856) 456-0400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1093033235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 MONMOUTH ST",
            "city": "GLOUCESTER CITY",
            "state": "NJ",
            "postal_code": "080301718",
            "telephone_number": "856-456-0400",
            "fax_number": "856-456-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 MONMOUTH ST",
            "city": "GLOUCESTER CITY",
            "state": "NJ",
            "postal_code": "080301718",
            "telephone_number": "856-456-0400",
            "fax_number": "856-456-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. IRVING J. KLEIN,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "IRVING",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "856-456-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MB02059100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2705206",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Gloucester City, NJ
• Providers in Gloucester City, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.