Active NPI
Daria Klachko, MD
- Obstetrics & Gynecology Physician
- West Orange, NJ
National Provider Identifier
1255449724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MA065734
- Practice address
- 769 Northfield Ave
Suite 236
West Orange, NJ 07052-1198 - Phone
- (973) 325-5670
- NPI assigned
- Aug 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MA065734 | NJ | Primary |
Addresses
Primary practice location
769 Northfield Ave
Suite 236
West Orange, NJ 07052-1198
Mailing address
11 Heritage Rd
Florham Park, NJ 07932-2217
Phone (973) 325-5670
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA065734 | NJ | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209600000000",
"number": "1255449724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 HERITAGE RD",
"city": "FLORHAM PARK",
"state": "NJ",
"postal_code": "079322217",
"telephone_number": "973-325-5670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "769 NORTHFIELD AVE",
"address_2": "SUITE 236",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070521198",
"telephone_number": "973-325-5670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLACHKO",
"first_name": "DARIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-26",
"last_updated": "2008-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "MA065734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.