Active NPI
Gerald Joseph Klein, MD
- Specialist
- Plantation, FL
National Provider Identifier
1104048198
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Nov 20, 2013.
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME 88698
- Practice address
- 189 N State Road 7
Plantation, FL 33317-3100 - Phone
- (954) 316-2442
- Fax
- (954) 316-2119
- NPI assigned
- May 2, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME 88698 | FL | Primary |
Addresses
Primary practice location
189 N State Road 7
Plantation, FL 33317-3100
Mailing address
13389 Verdun Dr
Palm Beach Gardens, FL 33410-1475
Phone (561) 630-5324
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 88698 | FL | MD | Specialist |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/8aea60f2-7e84-4f0f-9c4a-ad23740ef3c8/
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104048198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13389 VERDUN DR",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334101475",
"telephone_number": "561-630-5324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "189 N STATE ROAD 7",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333173100",
"telephone_number": "954-316-2442",
"fax_number": "954-316-2119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "GERALD",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME 88698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.