Brian Jeffrey Klein, D.M.D

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

22DI02299900 Issued in NJ

Practice address

447 Route 10
Suite 5
Randolph, NJ 07869-2132

Phone

(973) 328-1555

Fax

(973) 328-3405

NPI assigned

Aug 6, 2007

Last updated

May 8, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Broadway Oral Surgery, LLC

  • Dentist
  • Bayonne, NJ
  • NPI 1427734680
  NPD

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399507200000",
    "number": "1568653376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 ROUTE 10",
            "address_2": "SUITE 5",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692132",
            "telephone_number": "973-328-1555",
            "fax_number": "973-328-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 ROUTE 10",
            "address_2": "SUITE 5",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692132",
            "telephone_number": "973-328-1555",
            "fax_number": "973-328-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "BRIAN",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2014-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02299900",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "054701",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Kim, M.D.
• Minju Kim
• Young Kyu Kim, D.D.S
• Mindy Strauss Kirschner, MA,CCC/SLP
• Kishwar Shareef MD PC
• Carrie Ann Knowlton, PT, DPT
• Koala Pediatrics
• Paul Kochoa, P.T., D.P.T.
• Stacie Koenigsberg, MS, CCC-SLP
• Lauren Kolesa, RD

• Oral and Maxillofacial Surgery (Dentist) in Randolph, NJ
• Providers in Randolph, NJ by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.