AMBER KLIMCZAK (NPI# 1790165405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790165405 |
| Entity Type | Individual |
| Full Name | AMBER KLIMCZAK |
| Credential | M.D. |
| Practice Address |
140 Allen Rd Basking Ridge NJ 07920 |
| Mailing Address |
140 Allen Rd Basking Ridge NJ 07920-2976 |
| Practice Telephone | 9738712238 |
| Mailing Telephone | 9738712238 |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | BP10052641 | TX | Allopathic & Osteopathic Physicians |
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
25MA10537200 | NJ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 301 University Blvd, Galveston, TX 775550587 | 4097474952 | 4097474947 |
| Street Address |
140 ALLEN RD |
| City | BASKING RIDGE |
| State | NJ |
| Zip Code | 07920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467489906 | Rita Gulati | Obstetrics & Gynecology | 140 Allen Rd, Basking Ridge, NJ 07920-2976 | 2006-06-28 |
| 1487117370 | Liberty Corner Surgical Center LLC | Clinic/Center | 140 Allen Rd, Basking Ridge, NJ 07920-2976 | 2019-04-09 |
| 1750737359 | Rebekah Zimmerman | Medical Genetics | 140 Allen Rd, Suite 300, Basking Ridge, NJ 07920-2976 | 2016-05-12 |
| 1598123499 | Desiree Martin | Nutritionist | 140 Allen Rd, Basking Ridge, NJ 07920-2976 | 2016-02-05 |
| 1215395512 | Leda Ristovic | Nutritionist | 140 Allen Rd, Basking Ridge, NJ 07920-2976 | 2016-02-02 |
| 1881001212 | Ambulatory Surgical Center At Basking Ridge | Clinic/Center | 140 Allen Rd, Basking Ridge, NJ 07920-2976 | 2014-07-17 |
| 1851707475 | Lauren Nervi | Nurse Practitioner | 140 Allen Rd, Basking Ridge, NJ 07920-2976 | 2014-07-02 |
| 1205254620 | Julia G. Kim | Obstetrics & Gynecology | 140 Allen Rd, Basking Ridge, NJ 07920 | 2014-04-02 |
| 1730500679 | Foundation for The Assessment and Enhancement of Embryonic Competence | Clinical Medical Laboratory | 140 Allen Rd, Suite 300, Basking Ridge, NJ 07920-2976 | 2013-12-19 |
| 1265861371 | Priya Ramaswamy | Genetic Counselor, MS | 140 Allen Rd, Basking Ridge, NJ 07920-2976 | 2013-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073128450 | Margo Lee Tarasov | Social Worker | Rr 22 West, Bridgewater, NJ 07920 | 2020-09-11 |
| 1053894196 | Riverwalk Pharmacy LLC | Pharmacy | 665 Marinsville Rd Unite 9b, Basking Ridge, NJ 07920 | 2018-09-14 |
| 1164967196 | Somerset County Ymca | Community/Behavioral Health | 140 Mt. Airy Road, Basking Ridge, NJ 07920 | 2016-12-29 |
| 1649627159 | Dungarvin New Jersey, LLC-woodward | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 139 Woodward Ln, Basking Ridge, NJ 07920 | 2016-05-16 |
| 1134597115 | Sarah Kane | Genetic Counselor, MS | 136 Mountainview Blvd., Basking Ridge, NJ 07920 | 2015-09-09 |
| 1497137087 | Matheny School and School | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 33 North Maple Avenue, Basking Ridge Community Residence, Basking Ridge, NJ 07920 | 2015-06-19 |
| 1497194203 | Lauren Elizabeth Grabiec | Nurse Practitioner | 140 Allen Rd., Basking Ridge, NJ 07920 | 2013-06-14 |
| 1124466966 | David Evdokimow, M.d. LLC | Dermatology | 96 South Finley Ave., Basking Ridge, NJ 07920 | 2013-06-13 |
| 1720425804 | Carol J Skolnik | Occupational Therapist | 101 Peachtree Rd, Basking Ridge, NJ 07920 | 2013-05-29 |
| 1871863027 | Heather Lonergan | Counselor | 233 Mt.airy Rd, Basking Ridge, NJ 07920 | 2012-01-05 |
| Find all providers in zip 07920 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467489906 | Rita Gulati | Obstetrics & Gynecology | 140 Allen Rd, Basking Ridge, NJ 07920-2976 | 2006-06-28 |
| 1891132502 | Ashley Wood Tiegs | Obstetrics & Gynecology | 140 Allen Rd, Basking Ridge, NJ 07920-2976 | 2013-06-04 |
| 1336387927 | Eden Renee Rauch | Obstetrics & Gynecology | 140 Allen Rd, Basking Ridge, NJ 07920-2976 | 2009-02-04 |
| 1861630451 | Maria Fausta Costantini-ferrando | Obstetrics & Gynecology | 140 Allen Rd, Basking Ridge, NJ 07920-2976 | 2009-02-04 |
| 1255583829 | Kathleen Hong | Obstetrics & Gynecology | 140 Allen Rd, Basking Ridge, NJ 07920-2976 | 2008-10-15 |
| 1962660621 | Marie D Werner | Obstetrics & Gynecology | 140 Allen Rd, Basking Ridge, NJ 07920-2976 | 2008-05-29 |
| 1144498718 | Leo Francis Doherty | Obstetrics & Gynecology | 140 Allen Rd, Basking Ridge, NJ 07920-2976 | 2008-02-15 |
| 1992973036 | Melissa C Yih | Obstetrics & Gynecology | 140 Allen Rd, Basking Ridge, NJ 07920-2976 | 2008-02-12 |
| 1053521500 | Eric Jason Forman | Obstetrics & Gynecology | 140 Allen Rd, Basking Ridge, NJ 07920-2976 | 2007-05-23 |
| 1316152861 | Shefali Shastri | Obstetrics & Gynecology | 140 Allen Rd, Basking Ridge, NJ 07920-2976 | 2007-05-10 |
| Find all providers in BASKING RIDGE | ||||
| City | BASKING RIDGE |
| Zip Code | 07920 |
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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.