Active NPI
Christo S Klele, M.D.
- Anesthesiology Physician
- Passaic, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA05591900
- Practice address
- 350 Boulevard
Passaic, NJ 07055-2840 - Phone
- (973) 365-4300
- NPI assigned
- May 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 25MA 05591900 | NJ | |
| Anesthesiology Physician | 207L00000X | 25MA05591900 | NJ | Primary |
Addresses
Primary practice location
350 Boulevard
Passaic, NJ 07055-2840
Mailing address
PO Box 343
Midland Park, NJ 07432-0343
Phone (201) 804-2800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6179401 | Medicaid | NJ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Rutgers School of Dental Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
80 Eisenhower Dr
Suite 100
Paramus, NJ 07652-1430
Phone (201) 336-1100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA 05591900 | NJ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vivian K. Bethala, MD PA | Specialist | Current | Accepting new patients |
| Gastroenterology Associates of New Jersey, LLC | Anesthesiology | Current | Accepting new patients |
| Premier Medical Alliance LLC | Current | Accepting new patients | |
| Wayne Surgical Center LLC | Current | Accepting new patients | |
| Advanced Ambulatory Anesthesia, LLC | Specialist | Current | Accepting new patients |
| County Wide Anesthesia Group, LLC | Specialist | Past | Accepting new patients |
Locations
925 Clifton Ave
Clifton, NJ 07013
Phone (908) 722-9556
466 Old Hook Rd
Ste 9
Emerson, NJ 07630
Phone (201) 261-1005
466 Old Hook Rd
Ste 1
Emerson, NJ 07630
Phone (201) 261-0821
15-01 Broadway
Ste 34
Fair Lawn, NJ 07410
Phone (201) 794-6808
52 1st St
Hackensack, NJ 07601
Phone (201) 488-3003
170 Prospect Ave
Ste 10
Hackensack, NJ 07601
Phone (201) 489-0030
214 Terrace Ave
Hasbrouck Heights, NJ 07604
Phone (201) 288-6330
80 Eisenhower Dr
Paramus, NJ 07652
Phone (201) 336-1100
80 Eisenhower Dr
Ste 100
Paramus, NJ 07652
Phone (201) 336-1100
130 Kinderkamack Rd
Ste 301
River Edge, NJ 07661
Phone (201) 489-7772
301 Lakehurst Rd
Toms River, NJ 08755
Phone (732) 281-1590
525 Union Blvd
Totowa, NJ 07512
Phone (862) 229-0559
1176 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 283-0002
307 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 722-9556
205 Browertown Rd
Woodland Park, NJ 07424
Phone (973) 785-8888
1130 McBride Ave
Fl 3
Woodland Park, NJ 07424
Phone (973) 785-2277
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JJIGAA
Organizations & group practices 8
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.
-
- Gastroenterology Physician
- Woodland Park, NJ
- NPI 1497932271
Anesthesiology
-
- Specialist
- Wayne, NJ
- NPI 1063415990
-
- Gastroenterology Physician
- Emerson, NJ
- NPI 1093142895
-
- Pain Medicine (Anesthesiology) Physician
- Totowa, NJ
- NPI 1962427807
-
- Specialist
- Fair Lawn, NJ
- NPI 1699889980
-
- Specialist
- Emerson, NJ
- NPI 1568412799
-
- Ambulatory Surgical Clinic/Center
- Wayne, NJ
- NPI 1184749673
-
- Specialist
- Paterson, NJ
- NPI 1568465979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689724800000",
"number": "1992708184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 343",
"city": "MIDLAND PARK",
"state": "NJ",
"postal_code": "074320343",
"telephone_number": "201-804-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 BOULEVARD",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070552840",
"telephone_number": "973-365-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLELE",
"first_name": "CHRISTO",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2023-07-19",
"certification_date": "2023-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "25MA 05591900",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA05591900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6179401",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Passaic, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.