Individual provider Active NPI

Adeena Klugmann

  • Nurse Practitioner
  • Hackensack, NJ
National Provider Identifier
1881445435
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ15042000 Issued in NJ
Practice address
358 Beech St
Hackensack, NJ 07601-1344
Phone
(201) 487-8600
NPI assigned
Apr 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ15042000 NJ Primary

Addresses

Primary practice location

358 Beech St
Hackensack, NJ 07601-1344

Mailing address

109 Adams Way
Jackson, NJ 08527-3440
Phone (845) 642-1602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26NJ15042000NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maternal Resources PC PastSince Apr 9, 2024 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7791/brand/4/csg/1/fhir/r4
  • Direct secure messaging: adeena.klugmann.1@7791.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1881445435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 ADAMS WAY",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085273440",
            "telephone_number": "845-642-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 BEECH ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011344",
            "telephone_number": "201-487-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUGMANN",
        "first_name": "ADEENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ15042000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.