Active NPI
Marvin A Kleinman, M.S., CCC-A
- Audiologist-Hearing Aid Fitter
- Roselle Park, NJ
National Provider Identifier
1609995307
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jan 20, 2016.
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 25MG00045100
- Practice address
- 17 E Westfield Ave
Roselle Park, NJ 07204-2207 - Phone
- (908) 245-6699
- NPI assigned
- Mar 27, 2007
- 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 |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 25MG00045100 | NJ | Primary |
Addresses
Primary practice location
17 E Westfield Ave
Roselle Park, NJ 07204-2207
Mailing address
17 E Westfield Ave
Roselle Park, NJ 07204-2207
Phone (908) 245-6699
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0619400 | Medicaid | NJ |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MG00045100 | NJ | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Hearing Service, LLC | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Audiologist-Hearing Aid Fitter
- Roselle Park, NJ
- NPI 1598036303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1609995307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 E WESTFIELD AVE",
"city": "ROSELLE PARK",
"state": "NJ",
"postal_code": "072042207",
"telephone_number": "908-245-6699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 E WESTFIELD AVE",
"city": "ROSELLE PARK",
"state": "NJ",
"postal_code": "072042207",
"telephone_number": "908-245-6699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEINMAN",
"first_name": "MARVIN",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "M.S., CCC-A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NJ",
"license": "25MG00045100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0619400",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roselle Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.