NPIMap

Individual provider Active NPI

Alan Carl Klein, M.D.

  • Internal Medicine Physician
  • Neptune, NJ
National Provider Identifier
1710069471
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA04346800 Issued in NJ
Practice address
1944 State Route 33 Ste 103
Neptune, NJ 07753-4863
Phone
(732) 774-2336
Fax
(732) 774-2337
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA04346800 NJ Primary

Addresses

Primary practice location

1944 State Route 33 Ste 103
Neptune, NJ 07753-4863

Mailing address

1944 State Route 33 Ste 103
Neptune, NJ 07753-4863
Phone (732) 774-2336

Other identifiers 1

IdentifierTypeStateIssuer
3289800MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050609000484 NJ Practitioner - Internal Medicine 6709866858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shore Primary Care, P.C.Group PAC ID 5597745620, 2 clinicians

Practice addresses (Care Compare)

1944 Corlies Ave
Suite 103
Neptune, NJ 07753-4863
Phone (732) 774-2336

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA04346800NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Primary Care, P.C. Internal Medicine CurrentSince Aug 1, 2000 Accepting new patients

Locations

1944 State Route 33
Ste 103
Neptune, NJ 07753
Phone (732) 774-2336

1944 Corlies Ave
Ste 103
Neptune, NJ 07753
Phone (732) 774-2336

101 Walnut St
Neptune City, NJ 07753
Phone (732) 774-2336

Interoperability endpoints

  • Direct secure messaging: alanklein@spcpc.allscriptsdirect.net

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710069471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1944 STATE ROUTE 33 STE 103",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534863",
            "telephone_number": "732-774-2336",
            "fax_number": "732-774-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1944 STATE ROUTE 33 STE 103",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534863",
            "telephone_number": "732-774-2336",
            "fax_number": "732-774-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "ALAN",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04346800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3289800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.