MR. STAN KLETKEWICZ JR. MA
NPI 1790143626
Counselor - Professional in Medford, NJ
About Mr. Stan Kletkewicz Jr. Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. STAN KLETKEWICZ JR. MA (NPI 1790143626) is an individual professional provider in Medford, New Jersey, licensed in New Jersey (37AC00231700) and active in the NPI registry since February 2016. He has opted out of Medicare through October 22, 2027.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mr. Stan Kletkewicz Jr. Ma has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 22, 2025 through October 22, 2027.
Other Providers at the Same Location NPPES 14
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 Stan Kletkewicz's NPI number?
The NPI number for Stan Kletkewicz is 1790143626. It was assigned to this individual provider in the NPPES registry on February 6, 2016.
Where is Stan Kletkewicz located?
Stan Kletkewicz practices at 66 N Main St, Medford, NJ 08055. The listed phone number is (856) 912-8834.
What is Stan Kletkewicz's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Stan Kletkewicz enrolled in Medicare?
No. Stan Kletkewicz has opted out of Medicare through October 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Stan Kletkewicz was last updated on February 6, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.
