Peter A Klein, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

214206 Issued in NY

Practice address

6 Medical Dr
Suite D
Port Jefferson Station, NY 11776-1594

Phone

(631) 928-7922

Fax

(631) 928-9246

NPI assigned

Feb 7, 2006

Sex

Male

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

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

Specialty

Dermatology

Education

State University of New York at Stony Brook, School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Peter a Klein, MD, Faad, PCGroup PAC ID 3971492455, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

79.42 of 100Reported as group

Quality

65.5

Improvement activities

40

Cost

77.39

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pklein534016@nyumc.direct-ci.com
• FHIR API: https://fhir4.healow.com/fhir/r4/BIJBDD

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.

• Peter a Klein, MD, Faad, PC

  • Dermatology Physician
  • Port Jefferson Station, NY
  • NPI 1902837396
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1669444147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MEDICAL DR",
            "address_2": "SUITE D",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761594",
            "telephone_number": "631-928-7922",
            "fax_number": "631-928-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MEDICAL DR",
            "address_2": "SUITE D",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761594",
            "telephone_number": "631-928-7922",
            "fax_number": "631-928-9246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "PETER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "214206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleana Kitz, NP
• Neil Jhan Klatsky, LCSW-R, ACSW, BCD
• Lindsay Klausner
• Klein Moran Mental Health Counseling, PLLC
• Alyssa Ann Klein, MPT
• Joy Michelle Kling, M.A. CCC-SLP
• Knead to Heal Therapeutic Massage
• Corissa Knight, PHARM. D.
• Nicole Kocka, PMHNP
• William Peter Kollmer, DDS

• Dermatology Physician in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.