Active NPI
Benjamin Lawrence Kliot, M.D.
- Emergency Medicine Physician
- Danbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 57148
- Practice address
- 24 Hospital Ave
Danbury, CT 06810-6077 - Phone
- (203) 739-7447
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME 108673 | FL | |
| Emergency Medicine Physician | 207P00000X | MD2017-0905 | NM | |
| Emergency Medicine Physician | 207P00000X | 25MA07677100 | NJ | |
| Emergency Medicine Physician | 207P00000X | 224076 | NY | |
| Emergency Medicine Physician | 207P00000X | 57148 | CT | Primary |
Addresses
Primary practice location
24 Hospital Ave
Danbury, CT 06810-6077
Mailing address
365 Bond St Apt A219
Brooklyn, NY 11231-5136
Phone (917) 747-3054
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 108673 | FL | MD | Emergency Medicine Physician |
| 25MA07677100 | NJ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Current | Accepting new patients | |
| Bronxcare Health System | Emergency Medicine | Current | Accepting new patients |
| Maimonides Medical Center - MMC Emergency Physicians FPP | Emergency Medicine | Current | Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Bronxcare Health System | Current | Accepting new patients | |
| Jersey City Medical Center | Emergency Medicine | Past | Accepting new patients |
Locations
1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104
1276 Fulton Ave
Bronx, NY 10456
Phone (718) 518-5000
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
100 N Academy Ave
Danville, PA 17822
1000 E Mountain Blvd
Wilkes Barre, PA 18711
Phone (570) 808-7399
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Organizations & group practices 7
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646006400000",
"number": "1093813255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 BOND ST APT A219",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112315136",
"telephone_number": "917-747-3054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 HOSPITAL AVE",
"city": "DANBURY",
"state": "CT",
"postal_code": "068106077",
"telephone_number": "203-739-7447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLIOT",
"first_name": "BENJAMIN",
"middle_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME 108673",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NM",
"license": "MD2017-0905",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MA07677100",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "224076",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CT",
"license": "57148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.