Walter Klodnicki, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

25MA04290500 Issued in NJ

Practice address

1 Brace Road
Suite C
Cherry Hill, NJ 08034-2624

Phone

(856) 428-4100

Fax

(856) 428-5748

NPI assigned

Jan 31, 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

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Associated Cardiovascular Consultants

  • Cardiovascular Disease Physician
  • Cherry Hill, NJ
  • NPI 1518069996
  NPD (past)
• Cardiac Diagnostic Center of Southern New Jersey

  • Cardiovascular Disease Physician
  • Cherry Hill, NJ
  • NPI 1255468922
  NPD (past)
• Cardiac Interpretation Services, LLC

  • Cardiovascular Disease Physician
  • Voorhees, NJ
  • NPI 1104908078
  NPD (past)
• Cardiovascular Associates of the Delaware Valley,P a

  • Cardiovascular Disease Physician
  • Haddon Heights, NJ
  • NPI 1366495632
  NPD (past)
• Lourdes Cardiology Services

  • Cardiovascular Disease Physician
  • Camden, NJ
  • NPI 1417169772
  NPD (past)

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1437120078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BRACE ROAD",
            "address_2": "SUITE C",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342624",
            "telephone_number": "856-428-4100",
            "fax_number": "856-428-5748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRACE ROAD",
            "address_2": "SUITE C",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342624",
            "telephone_number": "856-428-4100",
            "fax_number": "856-428-5748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLODNICKI",
        "first_name": "WALTER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA04290500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1706101",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connor Klemann, PA-C
• Brian Klics, MS OTR/L
• Allison Klimko
• Jeffrey P Kline, PT
• Nancy F Kline, OTRL
• Joanna Kluz Murphy, PT
• Kayleigh C Kmet
• Denise A Knapp, MS, OTR/L
• Vanessa Joy Kneebone, DPT
• Sun Hee Ko, PHARM D.

• Cardiovascular Disease Physician in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; 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.