Provider Demographics
NPI:1295882587
Name:KLEIN & SCANNAPIEGO, MD., PA
Entity type:Organization
Organization Name:KLEIN & SCANNAPIEGO, MD., PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:M
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-289-1166
Mailing Address - Street 1:230 W JERSEY ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07202-1364
Mailing Address - Country:US
Mailing Address - Phone:908-289-1166
Mailing Address - Fax:908-352-4752
Practice Address - Street 1:230 W JERSEY ST FL 2
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07202-1364
Practice Address - Country:US
Practice Address - Phone:908-289-1166
Practice Address - Fax:908-352-4752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332H00000X, 207W00000X, 261Q00000X
NJ25MA02834600207W00000X
NJ270A00356000152W00000X
NJ25MA02738100207W00000X
NJ25MA07293500207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No332H00000XSuppliersEyewear SupplierGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ459904OtherMEDICARE LEGACY NUMBER
NJ2908204Medicaid
NJ5117690001Medicare NSC
NJ459904Medicare ID - Type Unspecified