Individual provider Active NPI

David M Klayman, DC

  • Chiropractor
  • Blauvelt, NY
National Provider Identifier
1730204595
Registry record updated Aug 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008738-1 Issued in NY
Practice address
580 Route 303
Blauvelt, NY 10913-1105
Phone
(845) 353-2001
Fax
(845) 680-6139
NPI assigned
Mar 20, 2007
Last updated
Aug 2, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 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 X008738-1 NY Primary

Addresses

Primary practice location

580 Route 303
Blauvelt, NY 10913-1105

Mailing address

25 Pelham Ave
Nanuet, NY 10954-3430
Phone (845) 353-2001

Other identifiers 4

IdentifierTypeStateIssuer
01819612MedicaidNY
1803680OtherNYUNITED PROVIDER ID NUMBER
0023565-001OtherNYCIGNA PROVIDER ID NUMBER
C08738-9BOtherNYWORKERS COMPENSATION ID #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160808000958 NJ Practitioner - Chiropractic 1456444769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

244 Livingston St
Suite D
Northvale, NJ 07647-1996
Phone (201) 297-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X008738-1NYMDChiropractor

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1186012800000",
    "number": "1730204595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 PELHAM AVE",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109543430",
            "telephone_number": "845-353-2001",
            "fax_number": "845-358-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 ROUTE 303",
            "city": "BLAUVELT",
            "state": "NY",
            "postal_code": "109131105",
            "telephone_number": "845-353-2001",
            "fax_number": "845-680-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAYMAN",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008738-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01819612",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED PROVIDER ID NUMBER",
            "identifier": "1803680",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER ID NUMBER",
            "identifier": "0023565-001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION ID #",
            "identifier": "C08738-9B",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blauvelt, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.