Rosemary Ellen Klenk, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

24408 Issued in CT

Practice address

183 Cherry Street
New Canaan, CT 06840

Phone

(203) 972-5232

Fax

(203) 972-5234

NPI assigned

Aug 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• New England Pediatrics, LLP

  • Pediatrics Physician
  • New Canaan, CT
  • NPI 1205844115
  NPD (past) Authorized official

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780692665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 CHERRY STREET",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "06840",
            "telephone_number": "203-972-5232",
            "fax_number": "203-972-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 CHERRY STREET",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "06840",
            "telephone_number": "203-972-5232",
            "fax_number": "203-972-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLENK",
        "first_name": "ROSEMARY",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "24408",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "152610",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Kennedy, MS
• John A Kerchoff, DMD
• Jillian Keyes, LCSW
• Anri Aronovitch Kissilenko, M.D.
• Jennifer Klein, PHD
• Helene Kluger, L.C.S.W.
• Lenka Knag
• Kimberly Roach Krug
• Mindy Kubrin, LCSW
• Warren James Lancaster

• Pediatrics Physician in New Canaan, CT
• Providers in New Canaan, CT by specialty
• Pediatrics Physician in Connecticut

• 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.