Individual provider Active NPI

Jeffery Klein, MD

  • Pain Medicine (Anesthesiology) Physician
  • Torrington, CT
National Provider Identifier
1194751008
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
036611 Issued in CT
Practice address
540 Litchfield St
Torrington, CT 06790-6679
Phone
(860) 496-6580
Fax
(860) 489-5519
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 036611 CT Primary

Addresses

Primary practice location

540 Litchfield St
Torrington, CT 06790-6679

Mailing address

540 Litchfield St
Torrington, CT 06790-6679
Phone (860) 496-6580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20160308001737 NJ Practitioner - Anesthesiology 1759365737 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Albany Medical College of Union University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Surgical Center LLCGroup PAC ID 0941384655, 4 clinicians

Practice addresses (Care Compare)

380 Lafayette Rd
Suite 110
Sparta, NJ 07871-3324
Phone (973) 940-3166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036611CTMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of New Jersey, LLC CurrentSince Nov 16, 2016 Accepting new patients
Union Anesthesia Associates, PA Pain Medicine CurrentSince Feb 23, 2021 Accepting new patients
Specialty Surgical Center LLC Current Accepting new patients
Specialty Surgical Center, LLC CurrentSince Feb 3, 2016 Accepting new patients

Locations

380 Lafayette Rd
Ste 110
Sparta, NJ 07871
Phone (973) 940-3166

301 Lakehurst Rd
Toms River, NJ 08755
Phone (732) 281-1590

695 Chestnut St
Union, NJ 07083
Phone (908) 688-6565

1825 State Route 23
Wayne, NJ 07470
Phone (973) 633-1480

1130 McBride Ave
Fl 3
Woodland Park, NJ 07424
Phone (973) 785-2277

205 Browertown Rd
Ste 102
Woodland Park, NJ 07424
Phone (973) 890-4780

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJIGAA

Organizations & group practices 4

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194751008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 LITCHFIELD ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906679",
            "telephone_number": "860-496-6580",
            "fax_number": "860-489-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 LITCHFIELD ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906679",
            "telephone_number": "860-496-6580",
            "fax_number": "860-489-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "JEFFERY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CT",
            "license": "036611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

Verify at the official NPI Registry.