Active NPI
Paul G Klein DPM PA
Doing business as North Jersey Podiatry
- Primary Podiatric Medicine Podiatrist
- Wayne, NJ
National Provider Identifier
1639515588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- MD01318
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
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.
-
- Primary Podiatric Medicine Podiatrist
- Wayne, NJ
- NPI 1649348947
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.