Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicholas R. Klock, PA-C

Individual provider Medical Physician Assistant · NPI 1629420435

Nicholas R. Klock, PA-C is a Physician Assistant in Newark, Delaware. Qualified in 2016, 10 years ago. Practices with Mhs Primary Care, Inc, a 177-clinician group and accepts Medicare assignment. Licensed in Delaware.

Years since qualifying
10
Licensed in
DE
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4755 Ogletown Stanton Rd Ste 5A43
Newark, DE 19718-2200
Phone: (302) 623-0188
Fax: (302) 733-5640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence C5-0001149 (DE)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1629420435
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 5, 2016
Last updated in NPPESAugust 23, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Mhs Primary Care, Inc. — 177 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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