=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902958861
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PATERSON EYE ASSOCIATES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/18/2007
-----------------------------------------------------
Last Update Date | 08/06/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 611 RIVER DR # 102
-----------------------------------------------------
City | ELMWOOD PARK
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07407-1325
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-278-7538
-----------------------------------------------------
Fax | 973-278-7207
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 611 RIVER DR # 102
-----------------------------------------------------
City | ELMWOOD PARK
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07407-1325
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-278-7538
-----------------------------------------------------
Fax | 973-278-7207
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. WARREN M KLEIN
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 973-278-7538
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207W00000X
-----------------------------------------------------
Taxonomy Name | Ophthalmology Physician
-----------------------------------------------------
License Number | 25MA07293500
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207W00000X
-----------------------------------------------------
Taxonomy Name | Ophthalmology Physician
-----------------------------------------------------
License Number | 25MA02834600
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 207W00000X
-----------------------------------------------------
Taxonomy Name | Ophthalmology Physician
-----------------------------------------------------
License Number | 25MA02738100
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------