Jordan Klesmer MD PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

170536 Issued in NY

Legal business name

JORDAN KLESMER MD PLLC

Practice address

1 Barstow Rd
Suite P24
Great Neck, NY 11021-3501

Phone

(917) 584-5043

NPI assigned

Dec 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jordan Klesmer, MDNPI 1407925779

Title

Manager

Phone

(917) 584-5043

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jordan Klesmer, MD

  • Psychiatry Physician
  • Great Neck, NY
  • NPI 1407925779
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1639353444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BARSTOW RD",
            "address_2": "SUITE P24",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213501",
            "telephone_number": "917-584-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BARSTOW RD",
            "address_2": "SUITE P24",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213501",
            "telephone_number": "917-584-5043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN KLESMER MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "KLESMER",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "917-584-5043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "170536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Harounian MD PLLC
• Karen Maria Jones, PT
• Misty Jones, BCBA
• Richard Jones, BCBA
• Jonathan Jonisch, MD
• Navdeep Kaur Josan, OTRL CHT
• Jose L. Seligson M.D. P.C.
• Joseph Abrams, MD, P.C.
• Joseph S. Weiner, M.D., P.C.
• Joseph Taverni M.D. P.C. (JMS Sports Medicine & Physical Therapy)

• Psychiatry Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.