NPIMap

Individual provider Active NPI

Roy Kleinert

  • Homemaker
  • Matawan, NJ
National Provider Identifier
1104271766
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
License
HP0204800 Issued in NJ
Practice address
1000 Route 34
Suite 204
Matawan, NJ 07747-3473
Phone
(732) 566-1112
Fax
(732) 566-1044
NPI assigned
May 2, 2016
Last updated
May 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X HP0204800 NJ Primary
Homemaker 376J00000X

Addresses

Primary practice location

1000 Route 34
Suite 204
Matawan, NJ 07747-3473

Mailing address

1000 Route 34
Suite 204
Matawan, NJ 07747-3473
Phone (732) 566-1112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HP0204800NJMDHomemaker

Practice roles

OrganizationSpecialtyStatusNew patients
Lares Home Care, LLC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1104271766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ROUTE 34",
            "address_2": "SUITE 204",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473473",
            "telephone_number": "732-566-1112",
            "fax_number": "732-566-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ROUTE 34",
            "address_2": "SUITE 204",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473473",
            "telephone_number": "732-566-1112",
            "fax_number": "732-566-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINERT",
        "first_name": "ROY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NJ",
            "license": "HP0204800",
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matawan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.