DR. ANDRZEJ EDMUND KLOS M.D. NPI 1104932144

NPI Information

NPI: 1104932144
Provider Name: DR. ANDRZEJ EDMUND KLOS, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
1327 WILLOW AVE
HOBOKEN, NJ
ZIP 07030
Phone: (201) 963-5633
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DR. Andrzej Edmund Klos, M.D. is a pediatrics in Hoboken, NJ. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Andrzej Edmund Klos, M.D. NPI is 1104932144. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1327 WILLOW AVE
HOBOKEN, NJ
ZIP 07030-337
Phone: (201) 963-5633
Fax: (201) 963-5412

The enumeration date for this NPI number is 8/22/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		25MA06004500	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0005778469	OTHER		AETNA
2	1K8654	OTHER		HEALTHNET
3	446X31	OTHER		EMPIRE BCBS
4	P1244524	OTHER		OXFORD HEALTH PLANS
5	KL814562	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY	MEDICARE PROVIDER NUMBER
6	G19580	MEDICARE UPIN	NEW JERSEY
7	6201407	MEDICAID	NEW JERSEY
8	81849	OTHER	NEW JERSEY	AMERIGROUP
9	1852641	OTHER		UNITED HEALTHCARE
10	9847708014	OTHER		CIGNA HEALTHCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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