Individual provider Active NPI

Jamie Ilene Klein, PA-C

  • Physician Assistant
  • Merrick, NY
National Provider Identifier
1124584172
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
023285 Issued in NY
Practice address
1728 Sunrise Hwy
Merrick, NY 11566-3745
Phone
(516) 218-6789
NPI assigned
Feb 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 023285 NY Primary

Addresses

Primary practice location

1728 Sunrise Hwy
Merrick, NY 11566-3745

Mailing address

1210 Astoria Park S
Astoria, NY 11102-3701
Phone (516) 458-0849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190315001780 NY Practitioner - Physician Assistant 4688914393 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Drexel University College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
True North Medical Group PCGroup PAC ID 7012194806, 185 clinicians

Practice addresses (Care Compare)

1728 Sunrise Hwy
Merrick, NY 11566-3745
Phone (516) 992-4700

36 Lincoln Ave
Rockville Centre, NY 11570-5768
Phone (516) 536-2800

444 Merrick Rd
Lynbrook, NY 11563-2460

8002 Kew Gardens Rd
Kew Gardens, NY 11415-3600
Phone (718) 970-6600

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
023285NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Apr 22, 2019 Accepting new patients
True North Medical Group PC CurrentSince Jan 1, 2022 Accepting new patients
New York University CurrentSince Apr 22, 2019 Accepting new patients
Kings Physician Services, PC CurrentSince Aug 1, 2020 Accepting new patients
True North Medical Group PC Physician Assistant CurrentSince Jan 1, 2022 Accepting new patients
True North Medical Group PC Past Accepting new patients

Locations

506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279

506 6th St
Ste B
Brooklyn, NY 11215
Phone (718) 780-3677

1101 Stewart Ave
Garden City, NY 11530
Phone (516) 794-2835

8002 Kew Gardens Rd
Kew Gardens, NY 11415
Phone (718) 275-2130

444 Merrick Rd
Lynbrook, NY 11563
Phone (516) 536-3800

1728 Sunrise Hwy
Merrick, NY 11566
Phone (516) 992-4568

259 1st St
Mineola, NY 11501
Phone (516) 576-1820

36 Lincoln Ave
Fl 3
Rockville Ctr, NY 11570

Interoperability endpoints

  • Direct secure messaging: jamieklein@nslijmedgr.allscriptsdirect.net

Organizations & group practices 6

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": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1124584172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 ASTORIA PARK S",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023701",
            "telephone_number": "516-458-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 SUNRISE HWY",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663745",
            "telephone_number": "516-218-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "JAMIE",
        "middle_name": "ILENE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2022-03-07",
        "certification_date": "2022-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "023285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

Verify at the official NPI Registry.