Individual provider Active NPI

Benjamin Lawrence Kliot, M.D.

  • Emergency Medicine Physician
  • Danbury, CT
National Provider Identifier
1093813255
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
57148 Issued in CT
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

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070523000324 NY Practitioner - Emergency Medicine 8123015971 Reassigns benefits to 2 organizations
I20150407001192 PA Practitioner - Emergency Medicine 8123015971 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 108673FLMDEmergency Medicine Physician
25MA07677100NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Current Accepting new patients
Bronxcare Health System Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Maimonides Medical Center - MMC Emergency Physicians FPP Emergency Medicine CurrentSince May 1, 2025 Accepting new patients
Geisinger Clinic CurrentSince Apr 1, 2015 Accepting new patients
Geisinger Clinic CurrentSince Apr 1, 2015 Accepting new patients
Bronxcare Health System CurrentSince Aug 1, 2023 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.

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

Verify at the official NPI Registry.