MARC KLAPHOLZ M.D.
NPI 1063447829
Internal Medicine - Cardiovascular Disease in Newark, NJ

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
73.27/100
CMS Quality Rating
90 BERGEN ST, DOC 3500, NEWARK, NJ 07103(973) 972-2573(973) 972-4695 Get Directions Write a Review

NPPES record last updated: February 2, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marc Klapholz M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARC KLAPHOLZ M.D. (NPI 1063447829) is an individual cardiovascular disease provider in Newark, New Jersey, licensed in New Jersey (25MA06249400) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with The University Hospital, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1986).

NPPES Registry Identity

NPI1063447829
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMARC KLAPHOLZCredential: M.D.
Location Address90 BERGEN ST, DOC 3500Newark, NJ 07103-2425
Mailing Address30 Bergen St, Admc 12 1205Newark, NJ 07107-3000
Fax(973) 972-4695
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1986
Enumeration DateJuly 11, 2006
Last NPPES UpdateFebruary 2, 2022
NPPES CertifiedFebruary 2, 2022
NPI 1063447829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NJ · 25MA06249400
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 25MA06249400 (NJ)
90 BERGEN ST, Newark, NJ 07103

Other Identifiers 1

Medicaid6610404NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Marc Klapholz M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901887405
PECOS Enrollment IDI20111207000279
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The University Hospital

Acute Care Hospitals · Newark, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310119
Location150 Bergen StNewark, NJ 07103 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality44.89
Promoting Interoperability83
Improvement Activities40
Cost47.69

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Acute Care Hospital
90 BERGEN ST, DOC # 3300, UMDNJ
NEWARK, NJ 07103
Surgery
90 BERGEN ST
NEWARK, NJ 07103
Internal Medicine (Pulmonary Disease)
90 BERGEN ST, DOC 4500
NEWARK, NJ 07103
Pediatrics
90 BERGEN ST, SUITE 4300
NEWARK, NJ 07103
Orthopaedic Surgery
90 BERGEN ST, DOC SUITE 7300
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
90 BERGEN ST
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
90 BERGEN ST
NEWARK, NJ 07103
Physical Medicine & Rehabilitation
90 BERGEN ST, DOC 3100
NEWARK, NJ 07103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marc Klapholz's NPI number?

The NPI number for Marc Klapholz is 1063447829. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Marc Klapholz located?

Marc Klapholz practices at 90 Bergen St Doc 3500, Newark, NJ 07103. The listed phone number is (973) 972-2573.

What is Marc Klapholz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Marc Klapholz enrolled in Medicare?

Yes. Marc Klapholz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Marc Klapholz affiliated with any hospitals?

According to CMS data, Marc Klapholz is affiliated with The University Hospital.

When was this NPI record last updated?

The NPPES record for Marc Klapholz was last updated on February 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.