Individual provider Active NPI

Edward F Klein, D.O.

  • Family Medicine Physician
  • Slate Hill, NY
National Provider Identifier
1609814714
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
216568 Issued in NY
Practice address
2904 Route 6
Suite 1
Slate Hill, NY 10973-3810
Phone
(845) 355-4611
Fax
(845) 355-2776
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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 216568 NY Primary

Addresses

Primary practice location

2904 Route 6
Suite 1
Slate Hill, NY 10973-3810

Mailing address

2 Coates Dr
Goshen, NY 10924-6758
Phone (845) 651-1400

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
I20050714000831 NY Practitioner - Family Practice 4183650773

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

Practice addresses (Care Compare)

2 Coates Dr
Goshen, NY 10924-6758

PO Box
Suite 2000
East Syracuse, NY 13057

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1609814714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 COATES DR",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246758",
            "telephone_number": "845-651-1400",
            "fax_number": "845-651-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 ROUTE 6",
            "address_2": "SUITE 1",
            "city": "SLATE HILL",
            "state": "NY",
            "postal_code": "109733810",
            "telephone_number": "845-355-4611",
            "fax_number": "845-355-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "EDWARD",
        "middle_name": "F",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "216568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slate Hill, NY

Sources for this page

Verify at the official NPI Registry.