Active NPI
Dearie Preventative Medicine Professional Corporation
- Public Health & General Preventive Medicine Physician
- Albany, NY
National Provider Identifier
1154138352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- Legal business name
- DEARIE PREVENTATIVE MEDICINE PROFESSIONAL CORPORATION
- Practice address
- 418 Broadway Ste N
Albany, NY 12207-2922 - Phone
- (206) 486-2053
- NPI assigned
- Dec 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristin Kleinhans
- Title
- Director
- Phone
- (253) 242-2705
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
418 Broadway Ste N
Albany, NY 12207-2922
Mailing address
PO Box 7241
Tacoma, WA 98417-0241
Phone (253) 242-2705
Other practice location 1
972 Broad St.
Newark, NJ 07102-3422
Phone (253) 242-2705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
215 E State St
Ste 3
Ithaca, NY 14850
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776729600000",
"number": "1154138352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7241",
"city": "TACOMA",
"state": "WA",
"postal_code": "984170241",
"telephone_number": "253-242-2705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 BROADWAY STE N",
"city": "ALBANY",
"state": "NY",
"postal_code": "122072922",
"telephone_number": "206-486-2053"
}
],
"practiceLocations": [
{
"address_1": "972 Broad St.",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071023422",
"country_code": "US",
"telephone_number": "253-242-2705",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DEARIE PREVENTATIVE MEDICINE PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-12",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A",
"authorized_official_last_name": "KLEINHANS",
"authorized_official_first_name": "KRISTIN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "253-242-2705"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.