Igor Kletsman, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

237093 Issued in NY

Practice address

520 Neptune Ave.
Brooklyn, NY 11224

Phone

(718) 333-9070

NPI assigned

Jun 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Max Health Care Medical PC

  • Primary Care Clinic/Center
  • Brooklyn, NY
  • NPI 1720276777
  Medicare reassignment NPD
• New York Gracie Square Hospital Inc

  • Psychiatric Hospital
  • New York, NY
  • NPI 1215911946
  Medicare reassignment NPD
• Dr. Igor Chan Min M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1881865111
  NPD (past)
• Ege PT PC

  • Early Intervention Provider Agency
  • Brooklyn, NY
  • NPI 1871846667
  NPD (past)
• I Chanmin MD Medical PC

  • Legal Medicine
  • Brooklyn, NY
  • NPI 1336328053

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1447297858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 OCEANA DRIVE EAST",
            "address_2": "APT 5I",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "917-974-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 NEPTUNE AVE.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11224",
            "telephone_number": "718-333-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLETSMAN",
        "first_name": "IGOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "237093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02681749",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Libby Klepfish
• Timothy Daniel Klepp, MD
• Mary-Laura Klesaris, MD
• Tara Klestzick
• Galina Kletsman, D.O.
• Kleydman Dermatology, PLLC
• Yekaterina Kleydman, D.O.
• Igor Kleyfeld, OTR/L
• Kleyfelds OT Wellness PC
• Aleksey Kleyman, LAC

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.