Individual provider Active NPI

Rochelle Kling, M.D.

  • Emergency Medicine Physician
  • Ridgewood, NJ
National Provider Identifier
1770995557
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MA10535100 Issued in NJ
Practice address
61 N Maple Ave Ste 305
Ridgewood, NJ 07450-3232
Phone
(201) 444-2019
NPI assigned
May 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 583583 TX
Emergency Medicine Physician 207P00000X 25MA10535100 NJ Primary

Addresses

Primary practice location

61 N Maple Ave Ste 305
Ridgewood, NJ 07450-3232

Mailing address

87 Rodney St
Glen Rock, NJ 07452-2105
Phone (914) 420-5317

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210421000415 NJ Practitioner - Emergency Medicine 2466860085 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
583583TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Emergency Assoc PA Emergency Medicine CurrentSince May 1, 2021 Accepting new patients

Locations

61 N Maple Ave
Ste 305
Ridgewood, NJ 07450
Phone (201) 444-2019

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1770995557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 RODNEY ST",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074522105",
            "telephone_number": "914-420-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 N MAPLE AVE STE 305",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503232",
            "telephone_number": "201-444-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLING",
        "first_name": "ROCHELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-28",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "583583",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA10535100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.