Active NPI
Robert M Klein, M.D.
- Diagnostic Radiology Physician
- Valhalla, NY
National Provider Identifier
1114955234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 092920
- Practice address
- 95 Grasslands Road
University Imaging and Medical Assc. PC
Valhalla, NY 10595 - Phone
- (914) 493-8881
- Fax
- (914) 493-1195
- NPI assigned
- Jun 29, 2006
- Last updated
- May 21, 2008
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 092920 | NY | Primary |
Addresses
Primary practice location
95 Grasslands Road
University Imaging and Medical Assc. PC
Valhalla, NY 10595
Mailing address
95 Grasslands Road
University Imaging and Medical Assc. PC
Valhalla, NY 10595
Phone (914) 493-8881
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00750936 | Medicaid | NY |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 092920 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Imaging and Medical Associates, PC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Valhalla, NY
- NPI 1306896071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211328000000",
"number": "1114955234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 GRASSLANDS ROAD",
"address_2": "UNIVERSITY IMAGING AND MEDICAL ASSC. PC",
"city": "VALHALLA",
"state": "NY",
"postal_code": "10595",
"telephone_number": "914-493-8881",
"fax_number": "914-493-1195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 GRASSLANDS ROAD",
"address_2": "UNIVERSITY IMAGING AND MEDICAL ASSC. PC",
"city": "VALHALLA",
"state": "NY",
"postal_code": "10595",
"telephone_number": "914-493-8881",
"fax_number": "914-493-1195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "ROBERT",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2008-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "092920",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00750936",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valhalla, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.