Individual provider Active NPI

Kenneth Klausman, M.D.

  • Internal Medicine Physician
  • Camden, NJ
National Provider Identifier
1306803549
Registry record updated Apr 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA04547000 Issued in NJ
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

Updated by the provider on Apr 11, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
001497088MedicaidPA

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
I20040430000187 NJ Practitioner - Internal Medicine 0446140396 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0393982PAMDEmergency Medicine Physician
25MA04547000NJMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Camcare Health Corporation Current Accepting new patients
Camcare Health Corporation CurrentSince Mar 16, 2019 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 PastSince Jun 1, 2001 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

  • Direct secure messaging: kklausman652150@direct.ochin.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.