Active NPI
David Marc Klein, M.D.
- Pediatrics Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 226188
- Practice address
- 4406 12TH Ave
Brooklyn, NY 11219-1094 - Phone
- (718) 438-4400
- Fax
- (718) 438-4404
- NPI assigned
- Aug 11, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 226188 | NY | Primary |
Addresses
Primary practice location
4406 12TH Ave
Brooklyn, NY 11219-1094
Mailing address
1248 Waterview St
Far Rockaway, NY 11691-1743
Phone (718) 868-4303
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251107004567 | NY | Practitioner - Pediatric Medicine | 4880184795 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- State University of New York Downstate Medical Center, 2000
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4406 12TH Ave
Brooklyn, NY 11219-1094
620 Foster Ave
Suite 200
Brooklyn, NY 11230-1389
Hospital & facility affiliations
- Morristown Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 226188 | NY | MD | Pediatrics Physician |
Practice roles (4 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center | Current | Accepting new patients | |
| Premium Health Inc | Current | Accepting new patients | |
| Boro Park Pediatric Associates, PLLC | Pediatrics | Past | Accepting new patients |
| Precious Health of Lakewood, PC | Pediatrics | Past | Accepting new patients |
Locations
620 Foster Ave
Brooklyn, NY 11230
620 Foster Ave
Ste 200
Brooklyn, NY 11230
Phone (718) 407-7300
5323 18th Ave
Brooklyn, NY 11204
Phone (718) 438-4400
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- davidklein@mai.allscriptsdirect.net
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346630400000",
"number": "1790787653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1248 WATERVIEW ST",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116911743",
"telephone_number": "718-868-4303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4406 12TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112191094",
"telephone_number": "718-438-4400",
"fax_number": "718-438-4404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "DAVID",
"middle_name": "MARC",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2012-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "226188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2012; 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.