Marina Klotsman, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

244633-1 Issued in NY

Practice address

464 Ocean Pkwy
Brooklyn, NY 11218-5003

Phone

(718) 282-0022

NPI assigned

Jun 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678

Interoperability endpoints

• Direct secure messaging: mak9068@direct.nyp.org

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.

• Kings Physician Services, PC

  • Diagnostic Radiology Physician
  • Brooklyn, NY
  • NPI 1083045090
  Medicare reassignment NPD
• Dynasty Pediatrics PLLC

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1285904789
  NPD (past) Authorized official
• Kings Physician Services, PC

  • Emergency Medicine Physician
  • Brooklyn, NY
  • NPI 1326698879
  NPD
• Hasc Diagnostic & Treatment Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1326519612
  NPD (past)
• Park Slope Emergency Physician Services, PC

  • Emergency Medicine Physician
  • Brooklyn, NY
  • NPI 1043251390
  NPD (past)

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420761600000",
    "number": "1164628129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1446 E 12TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306606",
            "telephone_number": "718-376-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112185003",
            "telephone_number": "718-282-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOTSMAN",
        "first_name": "MARINA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2015-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "244633-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Rose Klosen
• Rachel Kloss
• Gregg Klot, LCSW, PH.D.
• Rimma Klots
• Avery Radclyffe Klotsche, LCSW
• Tatiana Klozner, PHARMD
• Kluchik RX Corp.
• David Klug, MD
• Hadassah Kluger
• Jacqueline Kluger, PHD

• Pediatrics Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.