Mary-Laura Klesaris, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

224971 Issued in NY

Practice address

103 Bond St
Brooklyn, NY 11217-2247

Phone

(718) 797-0789

Fax

(718) 797-0689

NPI assigned

Mar 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 30, 2017 through May 30, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• David Evdokimow, M.D. LLC

  • Plastic and Reconstructive Surgery Physician
  • Basking Ridge, NJ
  • NPI 1124466966
  NPD (past)
• De Omilia Plastic Surgery PC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Basking Ridge, NJ
  • NPI 1164618435
  NPD (past)

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1477512556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BOND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112172247",
            "telephone_number": "718-797-0789",
            "fax_number": "718-797-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 BOND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112172247",
            "telephone_number": "718-797-0789",
            "fax_number": "718-797-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLESARIS",
        "first_name": "MARY-LAURA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "224971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rivki Kleinman
• Sara Kleinman
• Kleins Vision Center LTD
• Libby Klepfish
• Timothy Daniel Klepp, MD
• Tara Klestzick
• Galina Kletsman, D.O.
• Igor Kletsman, MD
• Kleydman Dermatology, PLLC
• Yekaterina Kleydman, D.O.

• 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 Nov 8, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.