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DR. ANDRZEJ EDMUND KLOS M.D.
NPI 1104932144
Pediatrics in Hoboken, NJ

Active since August 22, 2006PECOS Enrolled
1327 WILLOW AVE, HOBOKEN, NJ 07030(201) 963-5633(201) 963-5412 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Andrzej Edmund Klos M.d. NPPES

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

DR. ANDRZEJ EDMUND KLOS M.D. (NPI 1104932144) is an individual pediatrics provider in Hoboken, New Jersey, licensed in New Jersey (25MA06004500) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104932144
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. ANDRZEJ EDMUND KLOSCredential: M.D.
Location Address1327 WILLOW AVEHoboken, NJ 07030-3337
Mailing Address6 Woodcrest CtWarren, NJ 07059-5828 · (908) 755-9467 · Fax (908) 756-7098
Phone(201) 963-5633
Fax(201) 963-5412
Sole ProprietorNo
Enumeration DateAugust 22, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1104932144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MA06004500
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1327 WILLOW AVE, Hoboken, NJ 07030
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Other Identifiers 10

Other0005778469Aetna
Other1K8654Healthnet
Other446X31Empire Bcbs
OtherP1244524Oxford Health Plans
Medicare ID-Type UnspecifiedKL814562NJ · Medicare Provider Number
Medicare UPING19580NJ
Medicaid6201407NJ
Other81849NJ · Amerigroup
Other1852641United Healthcare
Other9847708014Cigna Healthcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrzej Edmund Klos M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Andrzej Klos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Saint Peter's Specialty Physicians, P.C.
48 mi
Gastroenterology
500 RIVER AVE STE 110
Lakewood, NJ 08701
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Saint Peter's Specialty Physicians PC
  • 58 clinicians in this Medicare group
NPI 1861894982 (732) 339-7880

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07030 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

PIOTR W. OKO M.D.
Pediatrics
1327 WILLOW AVE
HOBOKEN, NJ 07030
Hudson County (201) 963-5633
HOBOKEN PEDIATRICS
Pediatrics
1327 WILLOW AVE
HOBOKEN, NJ 07030
Hudson County (201) 963-5633

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 Andrzej Klos's NPI number?

The NPI number for Andrzej Klos is 1104932144. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Andrzej Klos located?

Andrzej Klos practices at 1327 Willow Ave, Hoboken, NJ 07030. The listed phone number is (201) 963-5633.

What is Andrzej Klos's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Andrzej Klos enrolled in Medicare?

Yes. Andrzej Klos is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrzej Klos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrzej Klos reassigns Medicare benefits to Saint Peter's Specialty Physicians, P.C. (Lakewood, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrzej Klos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrzej Klos accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Andrzej Klos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrzej Klos was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.