Individual provider Active NPI

Sandy Robin Kline, OD

  • Optometrist
  • Oakland Gardens, NY
National Provider Identifier
1548323280
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4593 Issued in NJ
Practice address
7508 Bell Blvd
Apt 1P
Oakland Gardens, NY 11364-3403
Phone
(973) 736-4498
Fax
(973) 574-8223
NPI assigned
Dec 17, 2006
Last updated
Nov 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4593 NJ Primary
Optometrist 152W00000X 4586 NY
Optometrist 152W00000X 6494P PA

Addresses

Primary practice location

7508 Bell Blvd
Apt 1P
Oakland Gardens, NY 11364-3403

Mailing address

22 Dale Dr
West Orange, NJ 07052-2006
Phone (973) 736-4498

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4593NJMDCounseling Psychologist
4586NYMDOptometrist
6494PPAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1166313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1548323280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 DALE DR",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522006",
            "telephone_number": "973-736-4498",
            "fax_number": "973-574-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7508 BELL BLVD",
            "address_2": "APT 1P",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113643403",
            "telephone_number": "973-736-4498",
            "fax_number": "973-574-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINE",
        "first_name": "SANDY",
        "middle_name": "ROBIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-17",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "4593",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "4586",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "6494P",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.