Kledia Blloshmi, MD

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

25MA10077600 Issued in NJ

Practice address

435 South St Ste 390
Morristown, NJ 07960

Phone

(973) 971-7022

NPI assigned

Apr 2, 2014

Last updated

Jul 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kledia Myrtolli Former name

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

Geriatric Medicine

Education

New York Medical College, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Barnabas Health Home Care and Hospice Hospice, West Orange, NJ, CCN 311507
• Life Hospice Hospice, Livingston, NJ, CCN 311596
• Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
• Inglemoor Rehabilitation and Care Center Nursing home, Livingston, NJ, CCN 315322

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Livingston Care Center Limited Partnership

  dba Inglemoor Care Center

  • Skilled Nursing Facility
  • Livingston, NJ
  • NPI 1316920572

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Practice Associates Medical Group

  dba Atlantic Medical Group

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1427016385
  Medicare reassignment Care Compare group NPD

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

• Cooperman Barnabas Medical Center Inc

  • General Acute Care Hospital
  • Livingston, NJ
  • NPI 1396857488
  Care Compare affiliation
• Life Hospice Inc

  dba Life Hospice

  • Community Based Hospice Care Agency
  • Livingston, NJ
  • NPI 1730801952
  Care Compare affiliation
• Livingston Care Center Limited Partnership

  dba Inglemoor Care Center

  • Skilled Nursing Facility
  • Livingston, NJ
  • NPI 1316920572

  Nursing home

  Care Compare affiliation
• Vna Health Group of New Jersey, LLC

  dba Barnabas Health Home Care and Hospice

  • Community Based Hospice Care Agency
  • West Orange, NJ
  • NPI 1174520076
  Care Compare affiliation

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1962820365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 SOUTH ST STE 390",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "07960",
            "telephone_number": "973-971-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLLOSHMI",
        "first_name": "KLEDIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA10077600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KLEDIA",
            "last_name": "MYRTOLLI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Neda Blagojevic, APN
• Blair Medical Associates, P.a.
• Jaclyn Paige Blakely, MS
• Rena Blau
• Nicole Blekhter, DO
• Deborah Chernock Block, M.D.
• Meryl Harley Bloom, MD
• Courtney Bloomer, DO
• Danielle Marie Bloomfield, APN
• Christopher Blum, DO

• Geriatric Medicine (Family Medicine) Physician in Morristown, NJ
• Providers in Morristown, NJ by specialty
• Geriatric Medicine (Family Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.