Individual provider Active NPI

Zvi Simcha Klopott, M.D,

  • Child & Adolescent Psychiatry Physician
  • Albany, NY
National Provider Identifier
1518029529
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
124115 Issued in NY
Practice address
5 Pine West PLZ
Suite 508
Albany, NY 12205-5587
Phone
(518) 452-4232
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 124115 NY Primary

Addresses

Primary practice location

5 Pine West PLZ
Suite 508
Albany, NY 12205-5587

Mailing address

144 Dumbarton Dr
Delmar, NY 12054-4426
Phone (518) 452-4232

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
I20041027000358 NY Practitioner - Psychiatry 4981666518 Practice locations: Albany, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
124115NYMDChild & Adolescent Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518029529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 DUMBARTON DR",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120544426",
            "telephone_number": "518-452-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PINE WEST PLZ",
            "address_2": "SUITE 508",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122055587",
            "telephone_number": "518-452-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOPOTT",
        "first_name": "ZVI",
        "middle_name": "SIMCHA",
        "name_prefix": "Dr.",
        "credential": "M.D,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "124115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.