Active NPI
Stephen Louis Klincewicz, D.O.
- Occupational Medicine Physician
- Ambler, PA
National Provider Identifier
1548575103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- OS0005430-L
- Practice address
- 1006 Stonebridge Rd
Ambler, PA 19002-2034 - Phone
- (215) 654-8386
- NPI assigned
- Aug 7, 2010
- 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 |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | OS0005430-L | PA | Primary |
Addresses
Primary practice location
1006 Stonebridge Rd
Ambler, PA 19002-2034
Mailing address
1006 Stonebridge Rd
Ambler, PA 19002-2034
Phone (215) 654-8386
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS0005430-L | PA | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281139200000",
"number": "1548575103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1006 STONEBRIDGE RD",
"city": "AMBLER",
"state": "PA",
"postal_code": "190022034",
"telephone_number": "215-654-8386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 STONEBRIDGE RD",
"city": "AMBLER",
"state": "PA",
"postal_code": "190022034",
"telephone_number": "215-654-8386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLINCEWICZ",
"first_name": "STEPHEN",
"middle_name": "LOUIS",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-07",
"last_updated": "2010-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "PA",
"license": "OS0005430-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ambler, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.