Organization Active NPI

Elana Z Klein Physician Asistant PC

  • Specialist
  • Spring Valley, NY
National Provider Identifier
1083022834
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
006174 Issued in NY
Legal business name
ELANA Z KLEIN PHYSICIAN ASISTANT PC
Practice address
19 Charlotte Dr
Spring Valley, NY 10977-1101
Phone
(845) 825-3502
NPI assigned
Jul 24, 2014
Last updated
Jul 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Authorized official

Name
Elana Z Klein, PA
Title
Sole Owner
Phone
(845) 825-3502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 006174 NY Primary

Addresses

Primary practice location

19 Charlotte Dr
Spring Valley, NY 10977-1101

Mailing address

19 Charlotte Dr
Spring Valley, NY 10977-1101
Phone (845) 825-3502

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1083022834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CHARLOTTE DR",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109771101",
            "telephone_number": "845-825-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 CHARLOTTE DR",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109771101",
            "telephone_number": "845-825-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELANA Z KLEIN PHYSICIAN ASISTANT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "ELANA",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "845-825-3502",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "006174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.