Sten I Kjellberg, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD051108L Issued in PA

Practice address

224 Roseberry Street
Suite 8
Phillipsburg, NJ 08865-1687

Phone

(908) 859-5222

Fax

(908) 859-3261

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ, PA2 enrollments

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1285665034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311",
            "telephone_number": "484-884-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 ROSEBERRY STREET",
            "address_2": "SUITE 8",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651687",
            "telephone_number": "908-859-5222",
            "fax_number": "908-859-3261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1411 Jacobsburg Rd",
            "address_purpose": "LOCATION",
            "city": "Wind Gap",
            "state": "PA",
            "postal_code": "180919788",
            "country_code": "US",
            "telephone_number": "610-861-8080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KJELLBERG",
        "first_name": "STEN",
        "middle_name": "I",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA06791900",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD051108L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7143109",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Richad Kilduff, PT, DPT, LSVT
• Joo Yeon Kim, DO
• Sam Kwang Kim, M.D.
• Seohyun Kim
• Kishor Nar MD PC
• Donna Lee Klardie, P.T.
• James F. Kline, O. D.
• Walter Emil Knittel
• KNJ Hospitalist Group LLC
• Daniel Kohansby, O.D.

• Surgery Physician in Phillipsburg, NJ
• Providers in Phillipsburg, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.