Individual provider Active NPI

Jonathan Klein, DPM

  • Podiatrist
  • Oceanside, NY
National Provider Identifier
1851327761
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005256-1 Issued in NY
Practice address
3757 Oceanside Rd E
Oceanside, NY 11572-5977
Phone
(718) 544-7575
Fax
(718) 544-7132
NPI assigned
Jun 23, 2006
Last updated
Feb 7, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N005256-1 NY Primary
Podiatrist 213E00000X 005256 NY

Addresses

Primary practice location

3757 Oceanside Rd E
Oceanside, NY 11572-5977

Mailing address

3757 Oceanside Rd E
Oceanside, NY 11572-5977
Phone (718) 544-7575

Other identifiers 1

IdentifierTypeStateIssuer
01779299MedicaidNY

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110405000363 NY Practitioner - Podiatry 5597807180 Reassigns benefits to 2 organizations
Practice locations: Melville, NY; Mt Vernon, NY; New Rochelle, NY; Oceanside, NY; Plainview, NY; Smithtown, NY; Staten Island, NY; West Babylon, NY…

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Preferred Family Footcare of Li PLLCGroup PAC ID 5890922439, 3 clinicians
Preferred Family Footcare, LLPGroup PAC ID 7810039401, 3 clinicians

Practice addresses (Care Compare)

1 Sunrise Dr
East Setauket, NY 11733-3820
Phone (631) 941-4455

14149 73Rd Ave
Flushing, NY 11367-2340
Phone (718) 544-7575

1555 Glenn Curtiss Blvd
East Meadow, NY 11554-5634
Phone (516) 542-0990

30 Route 111
Smithtown, NY 11787-3713
Phone (631) 724-2299

320 Patchogue Holbrook Rd
Holbrook, NY 11741-1634
Phone (631) 289-8400

337 Deer Park Rd
Dix Hills, NY 11746-5203
Phone (631) 385-1733

38 Wren Dr
Roslyn, NY 11576-2722
Phone (516) 621-4395

490 Pelham Rd
New Rochelle, NY 10805-1801
Phone (914) 636-2800

500 N Columbus Ave
Mount Vernon, NY 10552-1335
Phone (914) 667-5660

53 Franklin Ave
Lynbrook, NY 11563-1237
Phone (516) 596-2377

580W Montauk Hwy
West Babylon, NY 11704-8307
Phone (631) 422-8500

5905 Strickland Ave
Brooklyn, NY 11234-6425
Phone (718) 444-2600

801 Narrows N Rd
Staten Island, NY 10304-1500
Phone (718) 727-8498

Merit-based Incentive Payment System (MIPS)

Final score
76.56 of 100Reported as individual
Quality
33.47
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue21
Removal of nail tissue2450
Removal or shaving of skin growth331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005256-1NYMDPodiatrist
005256NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Family Footcare of Li PLLC Podiatrist CurrentSince Sep 1, 2013 Accepting new patients

Locations

1065 Smithtown Ave
Bohemia, NY 11716
Phone (631) 388-7616

5905 Strickland Ave
Brooklyn, NY 11234
Phone (718) 444-2600

1 Sunrise Dr
East Setauket, NY 11733
Phone (631) 459-5498

320 Patchogue Holbrook Rd
Holbrook, NY 11741
Phone (631) 289-5400

53 Franklin Ave
Lynbrook, NY 11563
Phone (516) 596-2377

500 N Columbus Ave
Mount Vernon, NY 10552
Phone (914) 266-3796

490 Pelham Rd
New Rochelle, NY 10805
Phone (914) 636-2800

1231 Old Country Rd
Plainview, NY 11803
Phone (516) 225-7032

165 Beverly Rd
South Huntington, NY 11746
Phone (631) 549-1957

801 Narrows Rd N
Staten Island, NY 10304
Phone (718) 727-8498

580 W Montauk Hwy
West Babylon, NY 11704
Phone (631) 422-0900

65 Crisfield St
Yonkers, NY 10710
Phone (914) 395-3500

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1851327761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3757 OCEANSIDE RD E",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725977",
            "telephone_number": "718-544-7575",
            "fax_number": "718-544-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3757 OCEANSIDE RD E",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725977",
            "telephone_number": "718-544-7575",
            "fax_number": "718-544-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "JONATHAN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005256-1",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "005256",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01779299",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, NY

Sources for this page

Verify at the official NPI Registry.