Active NPI
Mark Bernard Klapholz, MD
- Gastroenterology Physician
- New Hyde Park, NY
National Provider Identifier
1669566436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 143452
- Practice address
- 444 Lakeville Road
Suite 101
New Hyde Park, NY 11042-1165 - Phone
- (516) 354-7660
- Fax
- (516) 354-7671
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 143452 | NY | |
| Gastroenterology Physician | 207RG0100X | 143452 | NY | Primary |
Addresses
Primary practice location
444 Lakeville Road
Suite 101
New Hyde Park, NY 11042-1165
Mailing address
444 Lakeville Road
Suite 101
New Hyde Park, NY 11042-1165
Phone (516) 354-7660
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP016 | Other | NY | OXFORD |
| 0087865 | Other | NY | GHI |
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
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Patient Services, PLLC | Past | Accepting new patients | |
| North American Partners in Anesthesia LLP | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Melville, NY
- NPI 1740316496
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289260800000",
"number": "1669566436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 LAKEVILLE ROAD",
"address_2": "SUITE 101",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421165",
"telephone_number": "516-354-7660",
"fax_number": "516-354-7671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 LAKEVILLE ROAD",
"address_2": "SUITE 101",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421165",
"telephone_number": "516-354-7660",
"fax_number": "516-354-7671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLAPHOLZ",
"first_name": "MARK",
"middle_name": "BERNARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2010-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "143452",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "143452",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "AP016",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0087865",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.