Individual provider Active NPI

David Marc Klein, M.D.

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1790787653
Registry record updated Sep 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
226188 Issued in NY
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

Updated by the provider on Sep 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Hospital, Morristown, NJ, CCN 310015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
226188NYMDPediatrics Physician

Practice roles (4 of 8)

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Premium Health Inc CurrentSince Aug 2, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.