Organization Active NPI

Roberta L. Kline, M.D., LLC

  • Gynecology Physician
  • Glastonbury, CT
National Provider Identifier
1801108253
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
ROBERTA L. KLINE, M.D., LLC
Practice address
464 Stanley Dr
Glastonbury, CT 06033-2624
Phone
(860) 214-3653
NPI assigned
Jul 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
Dr. Roberta Kline, M.D.
Title
Physician/Owner
Phone
(860) 214-3653

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

464 Stanley Dr
Glastonbury, CT 06033-2624

Mailing address

464 Stanley Dr
Glastonbury, CT 06033-2624
Phone (860) 214-3653

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1801108253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 STANLEY DR",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332624",
            "telephone_number": "860-214-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 STANLEY DR",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332624",
            "telephone_number": "860-214-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTA L. KLINE, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-13",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "860-214-3653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.