Charles C Kleinberg, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

127745 Issued in NY

Practice address

1000 Park Ave
New York, NY 10028-0934

Phone

(212) 288-1399

Fax

(212) 288-9130

NPI assigned

Sep 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Other, 1973

Medicare assignment

May accept Medicare assignment

Group practices

Saitta Dermatology PCGroup PAC ID 1456773225, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722

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.

• Saitta Dermatology PC

  • Dermatology Physician
  • Brooklyn, NY
  • NPI 1083233324
  Medicare reassignment Care Compare group NPD
• Charles C.Kleinberg

  • Dermatology Physician
  • Forest Hills, NY
  • NPI 1831388263
  NPD (past) Authorized official
• BBB Health Resources LLC

  dba Privilege Care Medical Center

  • Clinic/Center
  • Elmhurst, NY
  • NPI 1750389581
  NPD (past)
• Ronald R Brancaccio MD & Peter Saitta DO PC

  dba The Skin Institute of New York

  • Dermatology Physician
  • Brooklyn, NY
  • NPI 1386719425
  NPD (past)
• Live Beyond Medical MGMT LLC

  • Clinical Medical Laboratory
  • Delray Beach, FL
  • NPI 1386229938
  NPD (past)
• Siny Dermatology Florida

  • Dermatology Physician
  • Delray Beach, FL
  • NPI 1093565293
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1700978566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280934",
            "telephone_number": "212-288-1399",
            "fax_number": "212-288-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280934",
            "telephone_number": "212-288-1399",
            "fax_number": "212-288-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINBERG",
        "first_name": "CHARLES",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "127745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00852511",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Warren N Klein, PH.D.
• Ziba Klein, MS, CNS
• Yocheved Rachel Kleinbart, LCSW
• Alfred William Kleinbaum, PH.D.
• Amanda Faith Kleinberg
• Jeffrey Kleinberg, PH.D.
• Jeffrey Lee Kleinberg
• Katie Kleinberg
• Sharon Leslie Kleinberg, LCSW
• Emily Kleine

• Dermatology Physician in New York, NY
• Providers in New York, 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 22, 2008; 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.