Mitchell a. Kline MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

169608 Issued in NY

Legal business name

MITCHELL A. KLINE MD PC

Practice address

700 Park Ave
New York, NY 10021-4930

Phone

(212) 517-6555

Fax

(212) 476-6796

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell A Kline, M.D.,P.C.NPI 1932136231

Title

Dermatologists Provider

Phone

(212) 517-6555

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mitchell A Kline, M.D.

  • Specialist
  • New York, NY
  • NPI 1932136231
  Medicare reassignment NPD Authorized official
• Radha Mikkilineni, M.D.

  • Dermatopathology Physician
  • Garden City, NY
  • NPI 1003842618
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1154489318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214930",
            "telephone_number": "212-517-6555",
            "fax_number": "212-476-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214930",
            "telephone_number": "212-517-6555",
            "fax_number": "212-476-6796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL A. KLINE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DERMATOLOGISTS PROVIDER",
        "authorized_official_telephone_number": "212-517-6555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,P.C."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "169608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "0004262282",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS PROVIDER NUMBER",
            "identifier": "3K6711",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "NS651",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON PROVIDER NUMBER",
            "identifier": "22099",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "9681544",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET PROVIDER NUMBER",
            "identifier": "NY5967",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seema Mital, MD
• Miki Mitarai
• Katie Mitaszka, PA-C
• Anne Elizabeth Mitch, CNS,LP
• Nicole Mitch, LMT
• Mary Ellen Mitchell Haddad, REGISTERED NURSE
• Mitchell J Mandel MDPC
• Mitchell J. Bloom, D.M.D., P.C.
• Mitchell Medical Group of New York PC
• Mitchell S. Levy, Psychologist, P.C.

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.