Individual provider Active NPI

Jeffrey Klein, D.C.

  • Chiropractor
  • New York, NY
National Provider Identifier
1700901857
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008414 Issued in NY
Practice address
1410 Broadway
Concourse Level
New York, NY 10018-5007
Phone
(212) 354-2225
Fax
(212) 354-1954
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X008414 NY Primary

Addresses

Primary practice location

1410 Broadway
Concourse Level
New York, NY 10018-5007

Mailing address

1410 Broadway
Concourse Level
New York, NY 10018-5007
Phone (212) 354-2225

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

State licenses

LicenseStateTypeSpecialty
008414NYMDMental Health Counselor
X008414NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Broadway Chiropractic and Wellness Chiropractor PastSince Dec 30, 1996 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700901857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 BROADWAY",
            "address_2": "CONCOURSE LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100185007",
            "telephone_number": "212-354-2225",
            "fax_number": "212-354-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 BROADWAY",
            "address_2": "CONCOURSE LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100185007",
            "telephone_number": "212-354-2225",
            "fax_number": "212-354-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "JEFFREY",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.