Sergei Klokov, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

345168 Issued in NY

Practice address

70 Dubois Street
Montefiore St. Lukes Cornwall
Newburgh, NY 12550

Phone

(845) 458-4883

NPI assigned

Jun 13, 2023

Reactivated

Jan 18, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1497439145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 DUBOIS STREET",
            "address_2": "MONTEFIORE ST. LUKES CORNWALL",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "12550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 DUBOIS STREET",
            "address_2": "MONTEFIORE ST. LUKES CORNWALL",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "12550",
            "telephone_number": "845-458-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOKOV",
        "first_name": "SERGEI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-13",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "deactivation_date": "2024-01-17",
        "reactivation_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "345168",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "345168",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiss Dental Care PLLC
• Dorrie Klein
• Bryan Matthew Kleinman, D.O.
• Paul S Kleinman, PH.D.
• Marian Smith Kline, RN, MS
• Christine Knopp
• Prabhakar Kocherlakota, MD
• Praveen Kumar Kodakandla
• Jonathan Kogen, PHD
• Robin Mazal Konitz, RN

• Internal Medicine Physician in Newburgh, NY
• Providers in Newburgh, 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 Jul 24, 2026; 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.