Active NPI
Kenneth Klausman, M.D.
- Internal Medicine Physician
- Camden, NJ
National Provider Identifier
1306803549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA04547000
- Practice address
- 817 Federal St
Camden, NJ 08103-1539 - Phone
- (856) 541-8217
- NPI assigned
- May 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD0393982 | PA | |
| Internal Medicine Physician | 207R00000X | 25MA04547000 | NJ | Primary |
| Occupational Medicine Physician | 2083X0100X | 25MA04547000 | NJ |
Addresses
Primary practice location
817 Federal St
Camden, NJ 08103-1539
Mailing address
PO Box 771
Cherry Hill, NJ 08003-0771
Phone (856) 541-8217
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001497088 | Medicaid | PA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0393982 | PA | MD | Emergency Medicine Physician |
| 25MA04547000 | NJ | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camcare Health Corporation | Current | Accepting new patients | |
| Camcare Health Corporation | Current | Accepting new patients | |
| Emergency Medicine Associates Company, LLC | Past | Accepting new patients | |
| Exigence New Jersey, LLC | Past | Accepting new patients | |
| South Jersey Health System Emergency Physician Services P a | Emergency Medicine | Past | Accepting new patients |
| The Dr Martin Jay Kessler Medical Services LLC | Past | Accepting new patients | |
| Mainland Wellness and Rehabilitation Center,LLC | Past | Accepting new patients |
Locations
2610 Federal St
Camden, NJ 08105
Phone (856) 541-0212
817 Federal St
Ste 300
Camden, NJ 08103
Phone (856) 541-5933
817 Federal St
Camden, NJ 08103
Phone (856) 541-3270
Interoperability endpoints
- kklausman652150@direct.ochin.org
- kklausman20668@direct.cooperhealth.edu
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- Camden, NJ
- NPI 1790857696
-
- Federally Qualified Health Center (FQHC)
- Clementon, NJ
- NPI 1508035064
-
- Personal Emergency Response Attendant
- Salem, NJ
- NPI 1881883965
-
- Emergency Medical Services (Emergency Medicine) Physician
- Salem, NJ
- NPI 1376593137
-
- Chiropractor
- Linwood, NJ
- NPI 1548314297
-
- Emergency Medicine Physician
- Elmer, NJ
- NPI 1306871314
-
- Family Medicine Physician
- Vineland, NJ
- NPI 1548310774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397174400000",
"number": "1306803549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 771",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080030771",
"telephone_number": "856-541-8217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 FEDERAL ST",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031539",
"telephone_number": "856-541-8217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLAUSMAN",
"first_name": "KENNETH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2014-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD0393982",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA04547000",
"primary": true
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "NJ",
"license": "25MA04547000",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001497088",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; 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.