Marjorie Gessner Klefeker, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

196575 Issued in MA

Practice address

680 Center St Signature Healthcare
Brockton, MA 02302

Phone

(508) 941-7000

Fax

(508) 941-6291

NPI assigned

Jul 18, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Marjorie S Gessner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Realization Center, Inc.

  • Clinic/Center
  • New York, NY
  • NPI 1699827345
  NPD
• Conway Hospital, Inc.

  • General Acute Care Hospital
  • Conway, SC
  • NPI 1134172000
  NPD (past)
• Realization Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • New York, NY
  • NPI 1972932465
  NPD (past)

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1861747685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 UNION SQ W",
            "address_2": "7TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033304",
            "telephone_number": "212-627-9600",
            "fax_number": "212-627-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 CENTER ST SIGNATURE HEALTHCARE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "02302",
            "telephone_number": "508-941-7000",
            "fax_number": "508-941-6291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEFEKER",
        "first_name": "MARJORIE",
        "middle_name": "GESSNER",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SW0102X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "MA",
            "license": "196575",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "196575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARJORIE",
            "last_name": "GESSNER",
            "middle_name": "S",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Steven Matthew King, APRN
• Ann M Kingman, NP
• Molly Kingman
• Kings & Queens Empowered
• Robert Michael Kinsley, MSW
• Jeffrey A Kleiman, MD
• Kelly Klein, PHD
• Steven Alan Klein, M.D.
• Joan Kennedy Klejna
• Roger M Kligler, MD

• Adult Health Nurse Practitioner in Brockton, MA
• Providers in Brockton, MA by specialty
• Adult Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.