Individual provider Active NPI

Rene Klein, FNP

  • Primary Care Nurse Practitioner
  • Jersey City, NJ
National Provider Identifier
1093341158
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ00997600 Issued in NJ
Practice address
550 Summit Ave Ste B1
Jersey City, NJ 07306-2700
Phone
(201) 209-1802
NPI assigned
Mar 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 26NJ00997600 NJ Primary

Addresses

Primary practice location

550 Summit Ave Ste B1
Jersey City, NJ 07306-2700

Mailing address

90 Rutherford Blvd
Clifton, NJ 07014-1408

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200813000772 NJ Practitioner - Nurse Practitioner 7719303312 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1311 Durham Ave
South Plainfield, NJ 07080-2309
Phone (410) 357-1434

Merit-based Incentive Payment System (MIPS)

Final score
24.46 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
81.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00997600NJMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yogi Medical Care Inc CurrentSince Jul 1, 2020 Accepting new patients
Dialog Healthcare, LLC CurrentSince May 1, 2022 Accepting new patients

Locations

1399 Chapel Ave W
Cherry Hill, NJ 08002
Phone (718) 501-5623

1412 Marlton Pike E
Cherry Hill, NJ 08034
Phone (856) 428-1600

550 Summit Ave
Ste B1
Jersey City, NJ 07306
Phone (201) 209-1802

50 Chestnut Ridge Rd
Ste 130
Montvale, NJ 07645
Phone (845) 213-3134

56 Hamilton Ave
Passaic, NJ 07055
Phone (732) 955-9047

1311 Durham Ave
South Plainfield, NJ 07080
Phone (732) 227-1226

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1093341158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 RUTHERFORD BLVD",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070141408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SUMMIT AVE STE B1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062700",
            "telephone_number": "201-209-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "RENE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00997600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.