Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alexander David Klebba, MD

Individual provider Diagnostic Radiology Physician · NPI 1568818094

Alexander David Klebba, MD is a Diagnostic Radiology in Summit, New Jersey. Graduated from University of California, Irvine, California College of Medicine in 2016, 10 years ago. Practices with Ancillary Services of Practice Associates PA, a 99-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
10
Trained at
University of California, Irvine, California College of Medicine
Licensed in
NJ, NY
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

99 Beauvoir Ave
Summit, NJ 07901-3533
Phone: (908) 522-2065
Fax: (908) 522-5763
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 256 Mason Ave # A, Staten Island, NY 10305-3408 — (718) 226-7745

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 25MA11953200 (NJ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 311172-01 (NY)

Record details

NPI number1568818094
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 13, 2016
Last updated in NPPESOctober 26, 2023
Certification dateOctober 26, 2023
Mailing addressPo Box 412826, Boston, MA 02241-2526

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Ancillary Services Of Practice Associates Pa — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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