Sean Thomas Kleczkowski, DOCTOR OF AUDIOLOGY

Primary specialty

AudiologistTaxonomy code 231H00000X

Practice address

23 W Palisade Ave
23 W Palisade Ave
Englewood, NJ 07631-2705

Phone

(201) 408-4441

Fax

(201) 408-4452

NPI assigned

Jun 17, 2024

Sex

Male

Sole proprietor

No

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

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NJ Eye and Ear, LLCGroup PAC ID 6002174737, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• NJ Eye and Ear LLC

  • Ophthalmology Physician
  • Englewood, NJ
  • NPI 1356860811
  Medicare reassignment Care Compare group NPD
• Clifton Eye Care LLC

  • Ophthalmology Physician
  • Clifton, NJ
  • NPI 1699838672
  NPD (past)

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1114760261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 MONTAGUE PL APT 4",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422847",
            "telephone_number": "860-416-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 W PALISADE AVE",
            "address_2": "23 W PALISADE AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312705",
            "telephone_number": "201-408-4441",
            "fax_number": "201-408-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLECZKOWSKI",
        "first_name": "SEAN",
        "middle_name": "THOMAS",
        "credential": "DOCTOR OF AUDIOLOGY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yoon Hee Kim
• Yun Hui Kim
• Kimberlie Yun, DMD, LLC
• Ilana Ariel Kipnis, D.O.
• Kirk J Levy MD PC
• Donna Klein, CRNA
• James Joseph Klein, MD
• Joshua Klein, MD
• Anna Marie Kleiner, LCSW
• Lilly Kliman, LCSW

• Audiologist in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Audiologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.