Individual provider Active NPI

Jeffrey Kenneth Klingenstein, MD

  • Gastroenterology Physician
  • Astoria, NY
National Provider Identifier
1215948310
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
134287 Issued in NY
Practice address
2325 31St St Ste 500
Astoria, NY 11105-2299
Phone
(718) 626-2337
Fax
(718) 626-7655
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 134287 NY
Gastroenterology Physician 207RG0100X 134287 NY Primary

Addresses

Primary practice location

2325 31St St Ste 500
Astoria, NY 11105-2299

Mailing address

2325 31St St Ste 500
Astoria, NY 11105-2299
Phone (718) 626-2337

Other identifiers 1

IdentifierTypeStateIssuer
00617905MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050504000510 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 3971543489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Boston University School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greater New York Gastroenterology LLPGroup PAC ID 1658441860, 5 clinicians

Practice addresses (Care Compare)

8545 Eliot Ave
Rego Park, NY 11374-2763
Phone (718) 533-7900

Merit-based Incentive Payment System (MIPS)

Final score
44.88 of 100Reported as individual
Quality
55.67
Improvement activities
0
Cost
75.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy88
Upper gastrointestinal (GI) endoscopy for acid reflux32

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greater New York Gastroenterology, LLP Internal Medicine CurrentSince Apr 1, 2008 Accepting new patients
New York Comprehensive Medical PC PastSince Oct 17, 2010 Accepting new patients
Booth Medical Associates PC Internal Medicine Past Accepting new patients
Pension Committee Joint Industry Board Past Accepting new patients

Locations

2325 31st St
Ste 500
Astoria, NY 11105
Phone (718) 626-2337

Networks

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1215948310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 31ST ST STE 500",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111052299",
            "telephone_number": "718-626-2337",
            "fax_number": "718-626-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 31ST ST STE 500",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111052299",
            "telephone_number": "718-626-2337",
            "fax_number": "718-626-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGENSTEIN",
        "first_name": "JEFFREY",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "134287",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "134287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00617905",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.