Kleinrock Nyso LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

KLEINROCK NYSO LLC

Practice address

1705 Broadway Ste 2
Hewlett, NY 11557-1600

Phone

(516) 593-0082

NPI assigned

Jun 30, 2021

Organization subpart

No

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

Authorized official

Name

Faith Gaskins

Title

Director of Credentialing

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Kleinrock Orthodontics Doing business as

Locations

Practitioners 1

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

• Seth Kleinrock, DDS

  • Dentist
  • Hewlett, NY
  • NPI 1588054936
  NPD (past)

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1235709353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 BROADWAY STE 2",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571600",
            "telephone_number": "516-593-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 BROADWAY STE 2",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571600",
            "telephone_number": "516-593-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLEINROCK NYSO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kleinrock Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shuhyun Kim
• Shanice King
• Asaf Klein, M.D.
• Jessica Ann Klein, DMD
• Lauren Ray Klein, M.S., CCC/SLP
• Kleinrock Orthodontics, PLLC
• Seth Kleinrock, DDS
• Avital Koenov
• Yehezkel Koenov
• Susan Koffler, MS

• Orthodontics and Dentofacial Orthopedics Dentistry in Hewlett, NY
• Providers in Hewlett, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.