Jacquelyn Klein, MS

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

Practice address

12 Shea Knolls CT
Campbell Hall, NY 10916-3306

Phone

(845) 325-2413

NPI assigned

Apr 22, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1629412663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 TREMONT AVE",
            "address_2": "MAIL STOP 129",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181023",
            "telephone_number": "845-325-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SHEA KNOLLS CT",
            "city": "CAMPBELL HALL",
            "state": "NY",
            "postal_code": "109163306",
            "telephone_number": "845-325-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "JACQUELYN",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-22",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haven Mobility
• Lauren Mara Incontrera, RN
• Nicholas Iorio, LMSW
• Latonya James
• Kaitlin Joy Kelly
• Lauren Emilie Klosterman, M.S., CCC-SLP
• Samantha Wesley Kohn, PH.D.
• Kristina Barton, LMHC, PLLC
• Maureen A Limperopulos, SLP
• Louis Psychological Services

• Clinical Exercise Physiologist in Campbell Hall, NY
• Providers in Campbell Hall, NY by specialty
• Clinical Exercise Physiologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.