Individual provider Active NPI

Jordan Klesmer, MD

  • Psychiatry Physician
  • Great Neck, NY
National Provider Identifier
1407925779
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
170536 Issued in NY
Practice address
1 Barstow Rd Ste P10
Great Neck, NY 11021-3501
Phone
(516) 477-2430
Fax
(516) 280-8466
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 170536 NY Primary

Addresses

Primary practice location

1 Barstow Rd Ste P10
Great Neck, NY 11021-3501

Mailing address

1 Barstow Rd Ste P10
Great Neck, NY 11021-3501
Phone (516) 477-2430

Other names 1

  • Dr. Jordan Klesmer Professional name

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
I20080310000644 NY Practitioner - Psychiatry 5698850022 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1985
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Barstow Rd
Suite P10
Great Neck, NY 11021-3501
Phone (516) 477-2430

300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 477-2430

One Barstow Rd
Suite P10
Great Neck, NY 11021-3501

Hospital & facility affiliations

  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Newyork-Presbyterian-Queens CurrentSince Sep 20, 2009 Accepting new patients
Newyork-Presbyterian/Queens Psychiatry CurrentSince Sep 20, 2009 Accepting new patients
North Shore Long Island Jewish Health Care Inc CurrentSince Apr 2, 2012 Accepting new patients
North Shore Long Island Jewish Healthcare CurrentSince Apr 2, 2012 Accepting new patients
Jordan Klesmer MD PLLC Psychiatry CurrentSince Feb 1, 2008 Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

1 Barstow Rd
Ste P24
Great Neck, NY 11021
Phone (516) 477-2430

611 Northern Blvd
Great Neck, NY 11021
Phone (516) 325-7000

1 Barstow Rd
Ste P10
Great Neck, NY 11021
Phone (516) 466-4114

17561 Hillside Ave
Ste 402
Jamaica, NY 11432
Phone (718) 670-1021

27005 76th Ave
North New Hyde Pk, NY 11040

300 Community Dr
Plandome, NY 11030

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1407925779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BARSTOW RD STE P10",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213501",
            "telephone_number": "516-477-2430",
            "fax_number": "516-280-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BARSTOW RD STE P10",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213501",
            "telephone_number": "516-477-2430",
            "fax_number": "516-280-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLESMER",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "170536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "KLESMER",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.