Alan J Klukowicz, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

MA042635 Issued in NJ

Practice address

62 S Fullerton Ave
Montclair, NJ 07042-2629

Phone

(973) 844-3720

Fax

(973) 844-3724

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Pulmonary Disease

Education

Rutgers New Jersey Medical School, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pulmonary and Critical Care AssociatesGroup PAC ID 8426189747, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Michael'S Medical Center Hospital, Newark, NJ, CCN 310096
• Hackensack Meridian Mountainside Medical Hospital, Montclair, NJ, CCN 310054

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Pulmonary & Critical Care Associates

  • Pulmonary Disease Physician
  • Newark, NJ
  • NPI 1467536623
  Medicare reassignment Care Compare group NPD
• Dr.Nail S Abdel Fatah MD PC

  • Pulmonary Disease Physician
  • East Orange, NJ
  • NPI 1710169693
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Montclair Hospital LLC

  • General Acute Care Hospital
  • Montclair, NJ
  • NPI 1982720249
  Care Compare affiliation
• Prime Healthcare Services - St Michaels LLC

  • General Acute Care Hospital
  • Newark, NJ
  • NPI 1568825545
  Care Compare affiliation

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1912959685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 524",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071090524",
            "telephone_number": "973-844-3720",
            "fax_number": "973-844-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 S FULLERTON AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422629",
            "telephone_number": "973-844-3720",
            "fax_number": "973-844-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUKOWICZ",
        "first_name": "ALAN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "MA042635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1293508",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen C Kimler, M.D.
• Kinfolk Family Health NP, PLLC
• Christopher Michael King, PHD
• Harmony Kingsley
• Blake Evan Kirschner, PSY.D.
• Amy Knitzer, LCSW
• Peter Anthony Koberle
• Nicholas Kodjak, CA, MA
• Taisia Lynn Koeppel, LCSW
• Dikshya Koirala

• Pulmonary Disease Physician in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Pulmonary Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.