Organization Active NPI

Paul G Klein DPM PA

Doing business as North Jersey Podiatry

  • Primary Podiatric Medicine Podiatrist
  • Wayne, NJ
National Provider Identifier
1639515588
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
MD01318 Issued in NJ
Legal business name
PAUL G KLEIN DPM PA
Doing business as
North Jersey Podiatry
Practice address
401 Hamburg Tpke Ste 110
401 Hamburg Turnpike
Wayne, NJ 07470-2139
Phone
(973) 595-1555
Fax
(973) 595-6849
NPI assigned
May 20, 2013
Last updated
May 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Authorized official

Name
Ms. Yvonne J McNamee
Title
Practice Manager
Phone
(201) 953-4308

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X MD01318 NJ
Primary Podiatric Medicine Podiatrist 213EP1101X MD01318 NJ Primary
Foot & Ankle Surgery Podiatrist 213ES0103X MD01318 NJ

Addresses

Primary practice location

401 Hamburg Tpke Ste 110
401 Hamburg Turnpike
Wayne, NJ 07470-2139

Mailing address

401 Hamburg Tpke Ste 110
Wayne, NJ 07470-2139
Phone (973) 595-1555

Other names 1

  • North Jersey Podiatry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130607000135 NJ Part B Supplier - Clinic/Group Practice 3375781081 Receives reassigned benefits from 1 practitioner
Practice locations: Wayne, NJ
O20190128000374 NJ DME Supplier - Physician - Podiatry 3375781081 Practice locations: Wayne, NJ

National Provider Directory

National Provider Directory

Locations

401 Hamburg Tpke
Ste 110
Wayne, NJ 07470
Phone (973) 595-1555

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1639515588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HAMBURG TPKE STE 110",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702139",
            "telephone_number": "973-595-1555",
            "fax_number": "973-595-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HAMBURG TPKE STE 110",
            "address_2": "401 HAMBURG TURNPIKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702139",
            "telephone_number": "973-595-1555",
            "fax_number": "973-595-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL G KLEIN DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "MCNAMEE",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "201-953-4308",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD01318",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NJ",
            "license": "MD01318",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD01318",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Jersey Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.