Basic Information
| Provider Information | |||||||||
| NPI: | 1770995557 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KLING | ||||||||
| FirstName: | ROCHELLE | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 87 RODNEY ST | ||||||||
| Address2: | |||||||||
| City: | GLEN ROCK | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 074522105 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9144205317 | ||||||||
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| Practice Location | |||||||||
| Address1: | 61 N MAPLE AVE STE 305 | ||||||||
| Address2: | |||||||||
| City: | RIDGEWOOD | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 074503232 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2014442019 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/28/2014 | ||||||||
| LastUpdateDate: | 03/24/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/24/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | 583583 | TX | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207P00000X | 25MA10535100 | NJ | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.