Individual provider Active NPI

Judith Kleinerman, M.D.

  • Hematology & Oncology Physician
  • Taunton, MA
National Provider Identifier
1669453999
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
79043 Issued in MA
Practice address
72 Washington St
Suite 1300
Taunton, MA 02780-2491
Phone
(508) 824-5865
Fax
(508) 823-9108
NPI assigned
Nov 14, 2005
Last updated
Dec 11, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 79043 MA Primary

Addresses

Primary practice location

72 Washington St
Suite 1300
Taunton, MA 02780-2491

Mailing address

72 Washington St
Suite 1300
Taunton, MA 02780-2491
Phone (508) 824-5865

Other identifiers 5

IdentifierTypeStateIssuer
768799OtherMATUFTS HEALTH PLAN
J31588OtherMABLUE SHIELD OF MASS
65872OtherMAHARVARD PILGRIM HEATLH CA
3000330OtherMAUNITED HEALTH PLANS
3207498MedicaidMA

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1669453999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 WASHINGTON ST",
            "address_2": "SUITE 1300",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027802491",
            "telephone_number": "508-824-5865",
            "fax_number": "508-823-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 WASHINGTON ST",
            "address_2": "SUITE 1300",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027802491",
            "telephone_number": "508-824-5865",
            "fax_number": "508-823-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINERMAN",
        "first_name": "JUDITH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-14",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MA",
            "license": "79043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "768799",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF MASS",
            "identifier": "J31588",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEATLH CA",
            "identifier": "65872",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH PLANS",
            "identifier": "3000330",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3207498",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.