Individual provider Active NPI

Galina Kletsman, D.O.

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1528003019
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
218828 Issued in NY
Practice address
520 Neptune Ave
Brooklyn, NY 11224-4004
Phone
(718) 333-9070
Fax
(718) 946-3230
NPI assigned
Jun 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 218828 NY Primary

Addresses

Primary practice location

520 Neptune Ave
Brooklyn, NY 11224-4004

Mailing address

120 Oceana Dr W Apt 3C
Brooklyn, NY 11235-6660
Phone (917) 817-9634

Other identifiers 1

IdentifierTypeStateIssuer
02097501MedicaidNY

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
I20040910000551 NY Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 6608843644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3049 Ocean Pkwy
Suite 305
Brooklyn, NY 11235-8395
Phone (718) 333-9070

Hospital & facility affiliations

  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243

Merit-based Incentive Payment System (MIPS)

Final score
27.49 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
91.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218828NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Max Health Care Medical PC CurrentSince Sep 17, 2007 Accepting new patients
Ege PT PC Past Accepting new patients

Locations

3049 Ocean Pkwy
Ste 305
Brooklyn, NY 11235
Phone (718) 333-9070

520 Neptune Ave
Brooklyn, NY 11224
Phone (212) 988-2924

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DFBEAA/Endpoint/DFBEAA

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1528003019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 OCEANA DR W APT 3C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356660",
            "telephone_number": "917-817-9634",
            "fax_number": "718-946-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 NEPTUNE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244004",
            "telephone_number": "718-333-9070",
            "fax_number": "718-946-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLETSMAN",
        "first_name": "GALINA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "218828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02097501",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.