Stefanie Michelle Kleinberg, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

024429 Issued in NY

Practice address

40 Brewster Hill Rd
East Setauket, NY 11733-1465

Phone

(631) 645-3478

NPI assigned

Nov 15, 2019

Last updated

May 14, 2023By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Lotus Medical Management, LLC

  • Preferred Provider Organization
  • Holbrook, NY
  • NPI 1679143820
  NPD
• Chenango Memorial Hospital, Inc.

  • Family Medicine Physician
  • Norwich, NY
  • NPI 1467526889

  Physician Assistant

  NPD (past)
• New York Neuromodulation Medical PLLC

  • Psychiatry Physician
  • New York, NY
  • NPI 1558891135
  NPD (past)

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684022400000",
    "number": "1760027585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BREWSTER HILL RD",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117331465",
            "telephone_number": "631-645-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BREWSTER HILL RD",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117331465",
            "telephone_number": "631-645-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINBERG",
        "first_name": "STEFANIE",
        "middle_name": "MICHELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-15",
        "last_updated": "2023-05-14",
        "certification_date": "2023-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "024429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariam M Kirvalidze, DO
• Jaclyn Kischkower, NP
• Kim Kjaer
• Diane Klein-Ritter, M.D.
• Arthur S Klein, M.D.
• Katarzyna Klek, MD
• Mark William Knakal, D.D.S.
• Kenneth Christopher Kneessy, M.D.
• Christopher Koch, PA
• Pamela Koch, CNM

• Physician Assistant in East Setauket, NY
• Providers in East Setauket, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.