NPIMap

Individual provider Active NPI

Jeffrey Klotz, M.D.

  • Family Medicine Physician
  • Willsboro, NY
National Provider Identifier
1073258398
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
339586 Issued in NY
Practice address
39 Farrell Rd
Willsboro, NY 12996-3904
Phone
(518) 963-4275
NPI assigned
May 2, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 339586 NY Primary

Addresses

Primary practice location

39 Farrell Rd
Willsboro, NY 12996-3904

Mailing address

159 Margaret St., Ste 100
Plattsburgh, NY 12901
Phone (518) 314-3862

Other practice location 1

159 Margaret St., Ste 100
Plattsburgh, NY 12901
Phone (518) 314-3862

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250908002772 NY Practitioner - Family Practice 3870095805 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabethtown Community Hospital CurrentSince Aug 28, 2025 Accepting new patients
Elizabethtown Community Hospital CurrentSince Aug 28, 2025 Accepting new patients

Locations

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

39 Farrell Rd
Willsboro, NY 12996
Phone (518) 523-8345

Interoperability endpoints

  • Direct secure messaging: jklotz479626@direct.uvmhealth.org
  • FHIR API: https://fhir-usa.unify.chbase.com/org/elizabe-e663f886

Organizations & group practices 3

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elizabethtown Community Hospital 62 clinicians

Practice addresses (Care Compare)

75 Park St
Elizabethtown, NY 12932-2300
Phone (518) 673-6377

Hospital & facility affiliations

  • HCR / HCR Home Care Chha (Plattsburgh) Home health agency, Plattsburgh, NY, CCN 337024
  • Elizabethtown Community Hospital Hospital, Elizabethtown, NY, CCN 331302
  • The University of Vermont Health Network - Champl Hospital, Plattsburgh, NY, CCN 330250
  • Adirondack Medical Center - Saranac Lake Hospital, Saranac Lake, NY, CCN 330079
  • Univ. of Vermont - Fletcher Allen Health Care Hospital, Burlington, VT, CCN 470003
  • Elizabethtown Community Hospital Nursing home, CCN 33Z302

NPI Registry JSON

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1073258398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 MARGARET ST., STE 100",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "12901",
            "telephone_number": "518-314-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 FARRELL RD",
            "city": "WILLSBORO",
            "state": "NY",
            "postal_code": "129963904",
            "telephone_number": "518-963-4275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "159 Margaret St., Ste 100",
            "address_purpose": "LOCATION",
            "city": "Plattsburgh",
            "state": "NY",
            "postal_code": "12901",
            "country_code": "US",
            "telephone_number": "518-314-3862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLOTZ",
        "first_name": "JEFFREY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-02",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "339586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willsboro, NY

Sources for this page

Verify at the official NPI Registry.