Alexander Klyashtorny, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25MA06926200 Issued in NJ

Practice address

99 Beauvoir Ave
Summit, NJ 07901-3533

Phone

(732) 738-3963

Fax

(732) 738-3965

NPI assigned

Jun 5, 2006

Last updated

Oct 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integrated Medical Care LLC

  • Interventional Pain Medicine Physician
  • Paramus, NJ
  • NPI 1568209658

  Anesthesiology

  Medicare reassignment NPD
• Leonid Lamper MD PC

  • Anesthesiology Physician
  • Elmwood Park, NJ
  • NPI 1659687903
  Medicare reassignment NPD
• Centurion Anesthesia Surgical Centers LLC

  • Anesthesiology Physician
  • Valley Stream, NY
  • NPI 1326707100

  NJ

  Medicare reassignment NPD
• Jersey Anesthesia & Pain Management Consultants, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Edison, NJ
  • NPI 1669619706
  Authorized official Same address or phone
• Bergen Pain Management PC

  • Interventional Pain Medicine Physician
  • Paramus, NJ
  • NPI 1265444921

  Anesthesiology

  NPD
• North American Partners in Anesthesia of New Jersey LLC

  • Anesthesiology Physician
  • Paterson, NJ
  • NPI 1548433048
  NPD
• Atlantic Coast Gastroenterology Associates

  • Gastroenterology Physician
  • Brick, NJ
  • NPI 1679512578
  NPD (past)
• Northern Valley Anesthesiology, P.a.

  • Anesthesiology Physician
  • Englewood, NJ
  • NPI 1245289487
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1417996836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 WALT WHITMAN RD STE 300",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474300",
            "telephone_number": "585-945-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 BEAUVOIR AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013533",
            "telephone_number": "732-738-3963",
            "fax_number": "732-738-3965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLYASHTORNY",
        "first_name": "ALEXANDER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA06926200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Kitchen, MA, LPC
• KKG Nutrition
• Alexander David Klebba, MD
• Lisa R Klein, MS CCC-SLP
• Betsy Klinger, D.O.
• Robert Knee, MD
• Knight Psychotherapy LLC
• Danielle Knight, APN-C
• Diana Gershon Knight, L.C.S.W.
• Kathleen Ann Kobberger, R.N.APN.C.

• Anesthesiology Physician in Summit, NJ
• Providers in Summit, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.