Individual provider Active NPI

Michael A. Klele, M.D.

  • Family Medicine Physician
  • Totowa, NJ
National Provider Identifier
1861512030
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA08749500 Issued in NJ
Practice address
525 Union Blvd
Totowa, NJ 07512-2442
Phone
(862) 229-0559
NPI assigned
Mar 30, 2007
Last updated
Feb 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MA08749500 NJ
Family Medicine Physician 207Q00000X MD438205 PA
Family Medicine Physician 207Q00000X 25MA08749500 NJ Primary
Internal Medicine Physician 207R00000X 25MA08749500 NJ

Addresses

Primary practice location

525 Union Blvd
Totowa, NJ 07512-2442

Mailing address

525 Union Blvd
Totowa, NJ 07512-2442
Phone (862) 229-0559

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
I20101220000037 NJ Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Emergency Medicine 4688722291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine, Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Perioperative Medicine, P.a.Group PAC ID 1951206200, 8 clinicians

Practice addresses (Care Compare)

525 Union Blvd
Totowa, NJ 07512-2442
Phone (862) 229-0559

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08749500NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Perioperative Medicine, P.a. CurrentSince May 16, 2020 Accepting new patients
Fort Wayne Medical Education Program Family Medicine PastSince Sep 1, 2024 Accepting new patients
Orthopedic & Hand Specialists, PC Past Accepting new patients

Locations

104 Lincoln Ave
Hawthorne, NJ 07506
Phone (973) 427-6800

525 Union Blvd
Totowa, NJ 07512
Phone (862) 229-0559

Organizations & group practices 3

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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1861512030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122442",
            "telephone_number": "862-229-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122442",
            "telephone_number": "862-229-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLELE",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA08749500",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD438205",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08749500",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08749500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Totowa, NJ

Sources for this page

Verify at the official NPI Registry.