BAILA KLUGMANN PMHNP
NPI 1336945062
Nurse Practitioner - Psychiatric/Mental Health in Toms River, NJ
About Baila Klugmann Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BAILA KLUGMANN PMHNP (NPI 1336945062) is an individual psychiatric/mental health provider in Toms River, New Jersey, licensed in New Jersey (26NJ15283900) and active in the NPI registry since February 2025. The provider is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Baila Klugmann Pmhnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Baila Klugmann reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Newark, NJ 07102
- Reassigned Medicare billing, New Jersey enrollment
- 141 clinicians in this Medicare group
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 08753 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Baila Klugmann's NPI number?
The NPI number for Baila Klugmann is 1336945062. It was assigned to this individual provider in the NPPES registry on February 24, 2025.
Where is Baila Klugmann located?
Baila Klugmann practices at 36 Washington St, Toms River, NJ 08753. The listed phone number is (866) 994-5161.
What is Baila Klugmann's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Baila Klugmann enrolled in Medicare?
Yes. Baila Klugmann 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.
Which organization bills Medicare for Baila Klugmann's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Baila Klugmann reassigns Medicare benefits to Jls Medical PC (Newark, 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 Baila Klugmann's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Baila Klugmann accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Baila Klugmann 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 Baila Klugmann was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.
# Baila Klugmann, PMHNP · NPI 1336945062
Psychiatric/Mental Health physician in Toms River, New Jersey. Individual provider, active in the CMS NPPES registry since February 24, 2025.
## Identity
- **NPI:** 1336945062 (Entity type: Individual)
- **Enumerated:** February 24, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 26NJ15283900 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 36 WASHINGTON ST, Toms River, NJ 08753-7667
- **Phone:** (866) 994-5161
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Jls Medical PC (NPI 1164007043, Newark, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** October 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1336945062) · Data from the CMS NPPES public registry.