Individual provider Active NPI

Roxana G. Kline, MD

  • Vascular Surgery Physician
  • Hackensack, NJ
National Provider Identifier
1215037981
Registry record updated Mar 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
25MA06748600 Issued in NJ
Practice address
332 Summit Ave
Hackensack, NJ 07601-1430
Phone
(201) 488-6445
Fax
(201) 488-6441
NPI assigned
Sep 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MA06748600 NJ
Vascular Surgery Physician 2086S0129X 25MA06748600 NJ Primary

Addresses

Primary practice location

332 Summit Ave
Hackensack, NJ 07601-1430

Mailing address

332 Summit Ave
Hackensack, NJ 07601-1430
Phone (201) 488-6445

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
I20050425000883 NJ Practitioner - Vascular SurgeryPractitioner - General Surgery 4486692514 Reassigns benefits to 1 organization
Practice locations: Hackensack, NJ

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Wayne State University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30 Prospect Ave
Hackensack, NJ 07601-1915

332 Summit Ave
Hackensack, NJ 07601-1430
Phone (201) 488-6445

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Roxana Kline MD LLC Surgery CurrentSince Mar 11, 2005 Accepting new patients
Integrative Medicine Associates, PC Past Accepting new patients
Summit Thoracic Institute, LLC PastSince Mar 11, 2005 Accepting new patients

Locations

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

332 Summit Ave
Hackensack, NJ 07601
Phone (201) 488-6445

20 Prospect Ave
Ste 707
Hackensack, NJ 07601
Phone (201) 488-2220

30 Prospect Ave
Rm G231
Hackensack, NJ 07601
Phone (201) 996-2317

1 Sears Dr
Fl Third
Paramus, NJ 07652
Phone (201) 261-5220

Interoperability endpoints

  • Direct secure messaging: roxana.kline@summitsurgical.chartmakerdirect.com
  • Direct secure messaging: rkline189856@ahs.direct-ci.com

Organizations & group practices 3

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 4

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": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267920000000",
    "number": "1215037981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 SUMMIT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011430",
            "telephone_number": "201-488-6445",
            "fax_number": "201-488-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 SUMMIT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011430",
            "telephone_number": "201-488-6445",
            "fax_number": "201-488-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINE",
        "first_name": "ROXANA",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-23",
        "last_updated": "2010-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA06748600",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MA06748600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.