Healthcare Provider Details

I. General information

NPI: 1295882587
Provider Name (Legal Business Name): KLEIN & SCANNAPIEGO, MD., PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 W JERSEY ST FL 2
ELIZABETH NJ
07202-1364
US

IV. Provider business mailing address

230 W JERSEY ST SUITE 201
ELIZABETH NJ
07202-1364
US

V. Phone/Fax

Practice location:
  • Phone: 908-289-1166
  • Fax: 908-352-4752
Mailing address:
  • Phone: 908-289-1166
  • Fax: 908-352-4752

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number270A00356000
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number25MA02738100
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number25MA02834600
License Number StateNJ
# 4
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number25MA07293500
License Number StateNJ
# 5
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: DR. WARREN M KLEIN
Title or Position: DOCTOR
Credential: M.D.
Phone: 908-289-1166