Individual provider Active NPI

Jay Klein, P.A.-C.

  • Medical Physician Assistant
  • Ocala, FL
National Provider Identifier
1376567172
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA3717 Issued in FL
Practice address
2685 SW 32ND PL
Suite 100
Ocala, FL 34471-7863
Phone
(352) 732-9643
Fax
(352) 732-2243
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA3717 FL Primary

Addresses

Primary practice location

2685 SW 32ND PL
Suite 100
Ocala, FL 34471-7863

Mailing address

2685 SW 32ND PL
Suite 100
Ocala, FL 34471-7863
Phone (352) 732-9643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080731000332 FL Practitioner - Physician Assistant 1557435112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA3717FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neurohealth, Inc. CurrentSince Apr 1, 2014 Accepting new patients

Locations

2685 SW 32nd Pl
Ste 100
Ocala, FL 34471
Phone (352) 732-9643

Organizations & group practices 1

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273536000000",
    "number": "1376567172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 SW 32ND PL",
            "address_2": "SUITE 100",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717863",
            "telephone_number": "352-732-9643",
            "fax_number": "352-732-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 SW 32ND PL",
            "address_2": "SUITE 100",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717863",
            "telephone_number": "352-732-9643",
            "fax_number": "352-732-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "JAY",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2010-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA3717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.