Ira Mitchell Klein, M.D.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

25MA05963100 Issued in NJ

Practice address

28 Drost LN
Hillsborough, NJ 08844-4093

Phone

(908) 369-0594

Fax

(908) 369-0570

NPI assigned

Mar 24, 2008

Last updated

Mar 24, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1699947291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 DROST LN",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444093",
            "telephone_number": "908-369-0594",
            "fax_number": "908-369-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 DROST LN",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444093",
            "telephone_number": "908-369-0594",
            "fax_number": "908-369-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "IRA",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NJ",
            "license": "25MA05963100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6168507",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Hillsborough, NJ
• Providers in Hillsborough, NJ by specialty
• Health Maintenance Organization in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.