Individual provider Active NPI

Gary Klingsberg, D.O.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Englewood, NJ
National Provider Identifier
1801833413
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
MB40845 Issued in NJ
Practice address
66 N Van Brunt St
Suite 1
Englewood, NJ 07631-2737
Phone
(201) 503-0007
Fax
(201) 503-0008
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MB40845 NJ
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X MB40845 NJ Primary

Addresses

Primary practice location

66 N Van Brunt St
Suite 1
Englewood, NJ 07631-2737

Mailing address

66 N Van Brunt St
Suite 1
Englewood, NJ 07631-2737

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
I20040421000201 NJ Practitioner - Family PracticePractitioner - Preventive Medicine 4385630987 Practice locations: Englewood, NJ

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Preventive Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

177 N Dean St
Suite 308
Englewood, NJ 07631-2515
Phone (201) 503-0007

Hospital & facility affiliations

  • Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB40845NJMDPreventive Medicine/Occupational Environmental Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pension Committee Joint Industry Board Past Accepting new patients

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 5

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1801833413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 N VAN BRUNT ST",
            "address_2": "SUITE 1",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 N VAN BRUNT ST",
            "address_2": "SUITE 1",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312737",
            "telephone_number": "201-503-0007",
            "fax_number": "201-503-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGSBERG",
        "first_name": "GARY",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB40845",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "NJ",
            "license": "MB40845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.