Individual provider Active NPI

Martin H. Klahr, M.D.

  • Gastroenterology Physician
  • Staten Island, NY
National Provider Identifier
1407927858
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
165585 Issued in NY
Practice address
2026 Richmond Rd
Staten Island, NY 10306-2549
Phone
(718) 667-9000
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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 165585 NY
Gastroenterology Physician 207RG0100X 165585 NY Primary

Addresses

Primary practice location

2026 Richmond Rd
Staten Island, NY 10306-2549

Mailing address

201 Amherst St
Highland Park, NJ 08904-3505
Phone (718) 667-9000

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
I20040526001411 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 4981685880 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
165585NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians of University Hospital, PC Internal Medicine CurrentSince Feb 1, 2016 Accepting new patients
Family Medical Center PC Internal Medicine Current Accepting new patients
Physicians of University Hospital, PC CurrentSince Feb 1, 2016 Accepting new patients
Coney Island Medical Practice Plan, P.C. CurrentSince Feb 6, 2014 Accepting new patients
Adult Medical Care, P.C. Internal Medicine Past Accepting new patients

Locations

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458

Networks

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1407927858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 AMHERST ST",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089043505",
            "telephone_number": "718-667-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2026 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062549",
            "telephone_number": "718-667-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAHR",
        "first_name": "MARTIN",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "165585",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "165585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.