Individual provider Active NPI

Shawn R Klein, MD

  • Ophthalmology Physician
  • Elizabeth, NJ
National Provider Identifier
1982690574
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA07293500 Issued in NJ
Practice address
230 W Jersey St
Suite 201
Elizabeth, NJ 07202-1364
Phone
(908) 289-1166
Fax
(908) 352-4752
NPI assigned
Sep 20, 2005
Last updated
Feb 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MA07293500 NJ Primary

Addresses

Primary practice location

230 W Jersey St
Suite 201
Elizabeth, NJ 07202-1364

Mailing address

230 W Jersey St
Suite 201
Elizabeth, NJ 07202-1364
Phone (908) 289-1166

Other practice location 1

551 Millburn Ave
Short Hills, NJ 07078-3330
Phone (973) 336-6543

Other practice location 2

611 River Dr
Elmwood Park, NJ 07407-1325
Phone (844) 802-2020

Other identifiers 1

IdentifierTypeStateIssuer
0037907MedicaidNJ

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040917000905 NJ Practitioner - Ophthalmology 3870499502 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rutgers New Jersey Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Klein and Scannapiego, MD., PAGroup PAC ID 8224023981, 7 clinicians
Center for Excellence in Cataract and Eye SurgeryGroup PAC ID 1456877992, 3 clinicians

Practice addresses (Care Compare)

230 W Jersey St
Suite 201
Elizabeth, NJ 07202-1352
Phone (908) 289-1166

611 River Dr
Elmwood Park, NJ 07407-1325
Phone (844) 802-2020

619 River Dr
Elmwood Park, NJ 07407-1317
Phone (201) 693-4330

Merit-based Incentive Payment System (MIPS)

Final score
24.09 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
80.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Klein & Scannapiego, MD., PA Ophthalmology CurrentSince Jul 1, 2004 Accepting new patients
Center for Excellence in Cataract & Eye Surgery Ophthalmology CurrentSince Feb 1, 2025 Accepting new patients

Locations

230 W Jersey St
#2
Elizabeth, NJ 07202

230 W Jersey St
Ste 201
Elizabeth, NJ 07202
Phone (908) 289-1166

611 River Dr
Elmwood Park, NJ 07407
Phone (844) 802-2020

619 River Dr
Elmwood Park, NJ 07407
Phone (201) 703-2900

Interoperability endpoints

  • Direct secure messaging: sklein@kvs.intellechartdirect.net
  • Direct secure messaging: sklein243398@epicdirect.rwjbh.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1982690574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W JERSEY ST",
            "address_2": "SUITE 201",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072021364",
            "telephone_number": "908-289-1166",
            "fax_number": "908-352-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W JERSEY ST",
            "address_2": "SUITE 201",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072021364",
            "telephone_number": "908-289-1166",
            "fax_number": "908-352-4752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "551 Millburn Ave",
            "address_purpose": "LOCATION",
            "city": "Short Hills",
            "state": "NJ",
            "postal_code": "070783330",
            "country_code": "US",
            "telephone_number": "973-336-6543",
            "fax_number": "908-352-4752",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "611 River Dr",
            "address_purpose": "LOCATION",
            "city": "Elmwood Park",
            "state": "NJ",
            "postal_code": "074071325",
            "country_code": "US",
            "telephone_number": "844-802-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "SHAWN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA07293500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0037907",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

Verify at the official NPI Registry.