Individual provider Active NPI

Vladimir Klinov, D.C., M.D.

  • Neurology Physician
  • Manahawkin, NJ
National Provider Identifier
1194764076
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
26MA09889200 Issued in NJ
Practice address
53 Nautilus Dr Ste 201
Manahawkin, NJ 08050-2465
Phone
(609) 978-8870
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 26MA09889200 NJ Primary

Addresses

Primary practice location

53 Nautilus Dr Ste 201
Manahawkin, NJ 08050-2465

Mailing address

18 Anise CT
Stafford Township, NJ 08050-5610
UM
Phone (917) 318-3773

Other practice location 1

151 9th Ave
Little Egg Harbor Twp, NJ 08087-4218
Phone (917) 318-3773

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160822001162 NJ Practitioner - Neurology 6800181496 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Health Medical Group - Specialty Care PCGroup PAC ID 9133032519, 1,901 clinicians
Neurological Services LLCGroup PAC ID 2567858905, 2 clinicians

Practice addresses (Care Compare)

1140 Route 72 W
Manahawkin, NJ 08050-2412
Phone (609) 597-6011

1944 Route 33
Neptune, NJ 07753
Phone (732) 776-3787

1945 Route 33
Neptune, NJ 07753

30 Prospect Ave
Hackensack, NJ 07601-1915

3600 Route 66
FL 3
Neptune, NJ 07753

53 Nautilus Dr
Suite 201
Manahawkin, NJ 08050-2465
Phone (609) 978-8871

Hospital & facility affiliations

  • Southern Ocean Medical Center Hospital, Manahawkin, NJ, CCN 310113
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108
  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052
  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
010270NYMDMental Health Counselor
26MA09889200NJMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2023 Accepting new patients
Neurological Services LLC CurrentSince Mar 15, 2022 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

151 9th Ave
Little Egg Harbor Twp, NJ 08087
Phone (609) 294-3200

53 Nautilus Dr
Ste 201
Manahawkin, NJ 08050
Phone (609) 978-8870

115 E Bay Ave
Manahawkin, NJ 08050
Phone (609) 597-9477

1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

Interoperability endpoints

  • Direct secure messaging: vladimir.klinov@direct.hackensackmeridian.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 4

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1194764076",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "18 ANISE CT",
            "city": "STAFFORD TOWNSHIP",
            "state": "NJ",
            "postal_code": "080505610",
            "telephone_number": "917-318-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 NAUTILUS DR STE 201",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502465",
            "telephone_number": "609-978-8870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 9th Ave",
            "address_purpose": "LOCATION",
            "city": "Little Egg Harbor Twp",
            "state": "NJ",
            "postal_code": "080874218",
            "country_code": "US",
            "telephone_number": "917-318-3773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLINOV",
        "first_name": "VLADIMIR",
        "credential": "D.C., M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "26MA09889200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

Verify at the official NPI Registry.