Individual provider Active NPI

Michael Joseph Klejmont, PT, DPT

  • Physical Therapist
  • Riverdale, NJ
National Provider Identifier
1972881605
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
A0QA01406500 Issued in NJ
Practice address
69 Newark Pompton Tpke
Riverdale, NJ 07457-1426
Phone
(973) 248-8111
Fax
(973) 248-8113
NPI assigned
Jul 29, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X A0QA01406500 NJ Primary

Addresses

Primary practice location

69 Newark Pompton Tpke
Riverdale, NJ 07457-1426

Mailing address

69 Newark Pompton Tpke
Riverdale, NJ 07457-1426
Phone (973) 248-8111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111006000656 NJ Practitioner - Physical Therapist in Private Practice 9133391527 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The New Jersey Center of Physical Therapy, PCGroup PAC ID 0042205023, 19 clinicians

Practice addresses (Care Compare)

69 Newark Pompton Tpke
Riverdale, NJ 07457-1426
Phone (973) 248-8111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A0QA01406500NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Paramus Orthopedic Physical Therapy, PC Physical Therapist CurrentSince Oct 29, 2021 Accepting new patients
The New Jersey Center of Physical Therapy, PC Physical Therapist CurrentSince Aug 1, 2011 Accepting new patients
Wayne Orthopedic Physical Therapy, PC Physical Therapist CurrentSince Oct 29, 2021 Accepting new patients
Montville Physical Therapy, PC CurrentSince Oct 29, 2021 Accepting new patients
Paramus Orthopedic Physical Therapy PastSince Oct 29, 2021 Accepting new patients
Wayne Foot and Ankle Center,PA PastSince Oct 29, 2021 Accepting new patients

Locations

2 Changebridge Rd
Ste F
Montville, NJ 07045
Phone (973) 917-3134

2 Changebridge Rd
#F
Montville, NJ 07045
Phone (973) 917-3134

28 Farview Ter
Paramus, NJ 07652
Phone (201) 880-9810

49 Hamburg Tpke
Riverdale, NJ 07457
Phone (973) 248-8111

69 Newark Pompton Tpke
Riverdale, NJ 07457
Phone (973) 248-8111

450 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 706-7620

Organizations & group practices 6

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": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1972881605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 NEWARK POMPTON TPKE",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "074571426",
            "telephone_number": "973-248-8111",
            "fax_number": "973-248-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 NEWARK POMPTON TPKE",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "074571426",
            "telephone_number": "973-248-8111",
            "fax_number": "973-248-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEJMONT",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-29",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "A0QA01406500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.