Organization Active NPI

Warren S. Kluger M.D., P.a.

  • Specialist
  • St Augustine, FL
National Provider Identifier
1194047142
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
00031145 Issued in FL
Legal business name
WARREN S. KLUGER M.D., P.A.
Practice address
3100 US 1 S
Suite 2
St Augustine, FL 32086-6310
Phone
(904) 797-2756
NPI assigned
Feb 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Dr. Warren Sydney Kluger, MD
Title
President
Phone
(904) 797-2756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 00031145 FL Primary

Addresses

Primary practice location

3100 US 1 S
Suite 2
St Augustine, FL 32086-6310

Mailing address

3100 US 1 S
Suite 2
St Augustine, FL 32086-6351
Phone (904) 797-2756

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1194047142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 US 1 S",
            "address_2": "SUITE 2",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320866351",
            "telephone_number": "904-797-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 US 1 S",
            "address_2": "SUITE 2",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320866310",
            "telephone_number": "904-797-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN S. KLUGER M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "KLUGER",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "SYDNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-797-2756",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "00031145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.