Mark S Klezmer, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

521 Issued in MA

Practice address

51 Diauto Dr
Randolph, MA 02368-4501

Phone

(781) 986-6443

Fax

(781) 986-4837

NPI assigned

Mar 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1978

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Integrative Chiropractic Services, PC

  • Chiropractor
  • Randolph, MA
  • NPI 1154644839
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1437118874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 DIAUTO DR",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684501",
            "telephone_number": "781-986-6443",
            "fax_number": "781-986-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 DIAUTO DR",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684501",
            "telephone_number": "781-986-6443",
            "fax_number": "781-986-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEZMER",
        "first_name": "MARK",
        "middle_name": "S",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "Y35346",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariam Khanani
• Rohini Khouri-Babulal
• Angela Kigathi
• Stephen P Kilgus, MA
• Debra Klezmer, LMT,RN,C,CRRN
• Jessica Kolczewski, MSN, APRN
• Mary Jane Krupa-Foy, MASSAGE THERAPIST
• Afriyie Kusi
• Maren Kuttimalai
• Nana Akomaa Kyerematen, M.S.

• Chiropractor in Randolph, MA
• Providers in Randolph, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.