Individual provider Active NPI

William Paul Klein, M.D.

  • Specialist
  • Orangeburg, NY
National Provider Identifier
1811969090
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
090345 Issued in NY
Practice address
60 Dutch Hill Rd
Suite 18
Orangeburg, NY 10962-1723
Phone
(845) 359-4770
Fax
(845) 359-0017
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 090345 NY Primary

Addresses

Primary practice location

60 Dutch Hill Rd
Suite 18
Orangeburg, NY 10962-1723

Mailing address

60 Dutch Hill Rd
Suite 18
Orangeburg, NY 10962-1723
Phone (845) 359-4770

Other identifiers 12

IdentifierTypeStateIssuer
00142732MedicaidNY
0221011OtherCIGNA
000000021938OtherGHI HMO
1046060OtherUNITED HEALTHCARE
11464OtherHUDSON HEALTHPLAN
121938OtherWELLCARE
504981OtherEMPIRE BLUECROSS BLUESHIELD
070009582OtherRAILROAD MEDICARE
2200229OtherGHI PPO
4222489OtherAETNA
0D2710OtherHEALTHNET ACS
RS138OtherOXFORD HEALTHPLANS

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
I20160325000624 NY Order and Referring Only - DermatologyPractitioner - Dermatology 4183756190

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1811969090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 DUTCH HILL RD",
            "address_2": "SUITE 18",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109621723",
            "telephone_number": "845-359-4770",
            "fax_number": "845-359-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 DUTCH HILL RD",
            "address_2": "SUITE 18",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109621723",
            "telephone_number": "845-359-4770",
            "fax_number": "845-359-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "WILLIAM",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "090345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00142732",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0221011",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO",
            "identifier": "000000021938",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1046060",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUDSON HEALTHPLAN",
            "identifier": "11464",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "121938",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUECROSS BLUESHIELD",
            "identifier": "504981",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070009582",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO",
            "identifier": "2200229",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4222489",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET ACS",
            "identifier": "0D2710",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTHPLANS",
            "identifier": "RS138",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, NY

Sources for this page

Verify at the official NPI Registry.