Individual provider Active NPI

Christo S Klele, M.D.

  • Anesthesiology Physician
  • Passaic, NJ
National Provider Identifier
1992708184
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA05591900 Issued in NJ
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

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6179401MedicaidNJ

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
I20040423000044 NJ Practitioner - Anesthesiology 0042205882 Reassigns benefits to 5 organizations

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
Gastroenterology Associates of New Jersey LLCGroup PAC ID 4284706656, 78 clinicians

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

LicenseStateTypeSpecialty
25MA 05591900NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Vivian K. Bethala, MD PA Specialist CurrentSince Dec 22, 2013 Accepting new patients
Gastroenterology Associates of New Jersey, LLC Anesthesiology CurrentSince Jan 1, 2016 Accepting new patients
Premier Medical Alliance LLC CurrentSince Apr 9, 2014 Accepting new patients
Wayne Surgical Center LLC CurrentSince Jan 1, 2003 Accepting new patients
Advanced Ambulatory Anesthesia, LLC Specialist CurrentSince Mar 1, 2012 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.