Active NPI
Gary Kline, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Hackensack, NJ
National Provider Identifier
1497825830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 200213
- Practice address
- 332 Summit Ave
Hackensack, NJ 07601-1430 - Phone
- (201) 488-6445
- Fax
- (201) 488-6441
- NPI assigned
- Nov 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 200213 | NY | Primary |
Addresses
Primary practice location
332 Summit Ave
Hackensack, NJ 07601-1430
Mailing address
332 Summit Ave
Hackensack, NJ 07601-1430
Phone (201) 488-6445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Wayne State University School of Medicine, 1986
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2800 Marcus Ave
Suite 203
New Hyde Park, NY 11042-1113
Phone (516) 233-1952
332 Summit Ave
Hackensack, NJ 07601-1430
Phone (201) 488-6445
Hospital & facility affiliations
- Hackensack Meridian Health Pascack Valley Medical
- Hackensack University Medical Center
- Holy Name Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200213 | NY | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roxana Kline MD LLC | Past | Accepting new patients | |
| North Shore Long Island Jewish Healthcare | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- gary.kline@summitsurgical.chartmakerdirect.com
- gkline189855@ahs.direct-ci.com
- gkline840977@nychhc.direct-ci.com
Organizations & group practices 3
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- New Hyde Park, NY
- NPI 1447431747
NJ
-
- Surgery Physician
- Hackensack, NJ
- NPI 1033324082
-
- Cardiovascular Disease Physician
- Westbury, NY
- NPI 1215019500
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Teaneck, NJ
- NPI 1043389349
Hospital
-
- General Acute Care Hospital
- Teaneck, NJ
- NPI 1104859131
-
- General Acute Care Hospital
- Westwood, NJ
- NPI 1205176062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339372800000",
"number": "1497825830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "332 SUMMIT AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011430",
"telephone_number": "201-488-6445",
"fax_number": "201-488-6441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "332 SUMMIT AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011430",
"telephone_number": "201-488-6445",
"fax_number": "201-488-6441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLINE",
"first_name": "GARY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2012-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "NY",
"license": "200213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.
- 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.