Individual provider Active NPI

Jason Adam Klein, M.D.

  • Pediatric Endocrinology Physician
  • Commack, NY
National Provider Identifier
1033358676
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
255029 Issued in NY
Practice address
500 Commack Rd
Commack, NY 11725-5020
Phone
(631) 444-5437
Fax
(631) 638-0157
NPI assigned
Feb 4, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nephrology Physician 2080P0210X 255029 NY
Pediatric Endocrinology Physician 2080P0205X 255029 NY Primary

Addresses

Primary practice location

500 Commack Rd
Commack, NY 11725-5020

Mailing address

12 Perri PL
Dix Hills, NY 11746-6561
Phone (516) 509-1566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150618000679 NY Practitioner - EndocrinologyPractitioner - Pediatric Medicine 6305157256 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
255029NYMDPediatric Nephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MMC Pediatrics Faculty Practice Pediatric Nephrology CurrentSince Apr 21, 2024 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Apr 21, 2024 Accepting new patients
New York University CurrentSince Jul 1, 2015 Accepting new patients
Maimonides Medical Center Current Accepting new patients
New York University CurrentSince Jul 1, 2015 Accepting new patients

Locations

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

160 E 32nd St
Fl L3
New York, NY 10016
Phone (212) 263-5407

150 E 32nd St
Fl 2
New York, NY 10016
Phone (646) 825-6300

160 E 32nd St
Fl 3
New York, NY 10016
Phone (212) 263-5940

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: jklein677839@nychhc.direct-ci.com
  • Direct secure messaging: jasonklein@mai.allscriptsdirect.net
  • Direct secure messaging: jklein107532@nyumc.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1033358676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 PERRI PL",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466561",
            "telephone_number": "516-509-1566",
            "fax_number": "888-312-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 COMMACK RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255020",
            "telephone_number": "631-444-5437",
            "fax_number": "631-638-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "JASON",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-04",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "NY",
            "license": "255029",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NY",
            "license": "255029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

Verify at the official NPI Registry.