Individual provider Active NPI

Shari Lynn Klig, MD

  • Allergy & Immunology Physician
  • Bethpage, NY
National Provider Identifier
1346235751
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
175978 Issued in NY
Practice address
4250 Hempstead Turnpike
Suite 21
Bethpage, NY 11714
Phone
(516) 433-8530
Fax
(516) 692-4240
NPI assigned
Sep 13, 2005
Reactivated
Nov 29, 2006
Sex
Female
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
Allergy & Immunology Physician 207K00000X 175978 NY Primary

Addresses

Primary practice location

4250 Hempstead Turnpike
Suite 21
Bethpage, NY 11714

Mailing address

70 Colgate Drive
Plainview, NY 11803
Phone (516) 433-8530

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
I20040514001156 NY Practitioner - Allergy/Immunology 7012907678 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Saint Louis University School of Medicine, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4250 Hempstead Tpke
Suite 21
Bethpage, NY 11714-5716
Phone (516) 433-8530

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
175978NYMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asthma & Allergy Medical Care PC Allergy & Immunology CurrentSince Oct 1, 2010 Accepting new patients
Long Island Allergy & Asthma Care, PLLC Allergy & Immunology CurrentSince Aug 1, 2006 Accepting new patients
Allergy & Asthma Associates of Murray Hill, P C Allergy & Immunology Past Accepting new patients
Paul B Lang MD PC Allergy & Immunology Past Accepting new patients

Locations

4250 Hempstead Tpke
Ste 21
Bethpage, NY 11714
Phone (516) 433-8530

111 Smithtown Byp
Ste 219
Hauppauge, NY 11788
Phone (631) 724-3355

376 S Oyster Bay Rd
Hicksville, NY 11801
Phone (516) 353-0991

68 Nassau Rd
Huntington, NY 11743
Phone (631) 423-5590

2004 Grand Ave
North Baldwin, NY 11510
Phone (516) 223-7656

Networks

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

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": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346235751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 COLGATE DRIVE",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "11803",
            "telephone_number": "516-433-8530",
            "fax_number": "516-692-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 HEMPSTEAD TURNPIKE",
            "address_2": "SUITE 21",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "11714",
            "telephone_number": "516-433-8530",
            "fax_number": "516-692-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIG",
        "first_name": "SHARI",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2007-07-08",
        "deactivation_date": "2005-10-25",
        "reactivation_date": "2006-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "175978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethpage, NY

Sources for this page

Verify at the official NPI Registry.