Individual provider Active NPI

Yaffa Klar, MD

  • Pediatric Adolescent Medicine Physician
  • Suffern, NY
National Provider Identifier
1538453030
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
188212 Issued in NY
Practice address
222 Route 59 Ste 306
Suffern, NY 10901-5208
Phone
(845) 368-0422
Fax
(845) 368-3224
NPI assigned
Jun 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 188212 NY Primary

Addresses

Primary practice location

222 Route 59 Ste 306
Suffern, NY 10901-5208

Mailing address

222 Route 59 Ste 306
Suffern, NY 10901-5208
Phone (845) 368-0422

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
I20200323000908 NY Practitioner - Pediatric Medicine 3870921067 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
188212NYMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Childrens Health Physicians LLP CurrentSince Apr 1, 2020 Accepting new patients
Boston Children'S Health Physicians, LLP Adolescent Medicine CurrentSince Apr 1, 2020 Accepting new patients

Locations

19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235

222 Route 59
Ste 306
Suffern, NY 10901
Phone (845) 368-0422

222 Route 59
Ste 303
Suffern, NY 10901
Phone (845) 368-0422

40 Sunshine Cottage Rd
Valhalla, NY 10595
Phone (914) 594-2200

100 Woods Rd
#O
Valhalla, NY 10595

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: yaffa.klar.p1@direct.cwpw.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385424000000",
    "number": "1538453030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 ROUTE 59 STE 306",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015208",
            "telephone_number": "845-368-0422",
            "fax_number": "845-368-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 ROUTE 59 STE 306",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015208",
            "telephone_number": "845-368-0422",
            "fax_number": "845-368-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAR",
        "first_name": "YAFFA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-02",
        "last_updated": "2013-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "188212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

Verify at the official NPI Registry.