DR. BRADLEY MARC KLEIN (NPI# 1619314705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619314705 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY MARC KLEIN |
| Credential | M.D. |
| Practice Address |
1200 E Ridgewood Ave Ste 208 Ridgewood NJ 07450-3937 |
| Practice Telephone | 2014440868 |
| Practice Fax Number | 2014470581 |
| Mailing Telephone | 2014440868 |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2019-03-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
25MA10293600 | NJ | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114579612 | Bradley Klein | Nurse Practitioner | 710 Riverside Dr, Waupaca, WI 54981-1941 | 2019-07-15 |
| 1922012400 | Bradley Scott Klein | Psychiatry & Neurology | 28336 Franklin Rd, Southfield, MI 48034-5503 | 2006-07-28 |
| Street Address |
1200 E RIDGEWOOD AVE STE 208 |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450-3937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
| 1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
| 1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
| 1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
| 1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
| 1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
| 1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
| 1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
| Find all providers in zip 07450 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861453011 | Peter Heilbroner | Psychiatry & Neurology | 1200 East Ridgewood Ave, East Wing - 2nd Floor, Ridgewood, NJ 07450 | 2006-03-29 |
| 1699091918 | Fumin Tong | Psychiatry & Neurology | 1200 East Ridgewood Avenue, 2nd Floor East Wing Suite 208, Ridgewood, NJ 07450 | 2010-04-12 |
| 1356508741 | Daniel Berlin | Psychiatry & Neurology | 1200 E Ridgewood Ave, East Wing 2nd Floor, Ridgewood, NJ 07450-3957 | 2008-05-22 |
| 1801061585 | Yamini Naidu | Psychiatry & Neurology | 1200 E Ridgewood Ave, East Wing, Ridgewood, NJ 07450-3957 | 2008-04-24 |
| 1336324789 | Allen Silverstein Md Pa | Psychiatry & Neurology | 127 Union St, Suite 110, Ridgewood, NJ 07450 | 2008-01-04 |
| 1740323138 | Dorothea Altschul | Psychiatry & Neurology | 1200 E Ridgewood Ave, 200, Ridgewood, NJ 07450-3957 | 2007-02-15 |
| 1821139502 | Olga Noskin | Psychiatry & Neurology | 1200 E Ridgewood Ave, East Wing - 2nd Floor, Ridgewood, NJ 07450-3957 | 2007-02-08 |
| 1881731107 | Neurology Group of Bergen County Pa | Psychiatry & Neurology | 1200 East Ridgewood Ave, 2nd Floor East Wing, Ridgewood, NJ 07450-3957 | 2007-01-30 |
| 1750475075 | Allen Silverstein | Psychiatry & Neurology | 127 Union St, Ridgewood, NJ 07450-4478 | 2006-10-03 |
| 1578527941 | Kenneth A Citak | Psychiatry & Neurology | 1200 East Ridgewood Ave, East Wing 2nd Floor, Ridgewood, NJ 07450 | 2006-04-13 |
| Find all providers in RIDGEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.