Organization Active NPI

S. Klein MD LLC

Doing business as Pain Treatment & Rehabilitation

  • Physical Medicine & Rehabilitation Physician
  • Bayside, NY
National Provider Identifier
1073985842
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
S. KLEIN MD LLC
Doing business as
Pain Treatment & Rehabilitation
Practice address
21333 39TH Ave
Ste 240
Bayside, NY 11361-2091
Phone
(212) 673-6083
Fax
(718) 631-0195
NPI assigned
Oct 20, 2015
Last updated
Oct 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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

Authorized official

Name
Dr. Stephen Klein, M.D.NPI 1316158397
Title
Owner
Phone
(917) 880-8079

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

21333 39TH Ave
Ste 240
Bayside, NY 11361-2091

Mailing address

21333 39TH Ave
Suite 240
Bayside, NY 11361-2091
Phone (212) 673-6083

Other names 1

  • Pain Treatment & Rehabilitation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151030000159 NY Part B Supplier - Clinic/Group Practice 9638489859 Receives reassigned benefits from 1 practitioner
Practice locations: Bayside, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1073985842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21333 39TH AVE",
            "address_2": "SUITE 240",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612091",
            "telephone_number": "212-673-6083",
            "fax_number": "718-631-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21333 39TH AVE",
            "address_2": "STE 240",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612091",
            "telephone_number": "212-673-6083",
            "fax_number": "718-631-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. KLEIN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-880-8079",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain Treatment & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.