Individual provider Active NPI

Ashley Klein, RD

  • Registered Dietitian
  • Syosset, NY
National Provider Identifier
1871788919
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
992610 Issued in NY
Practice address
567 Jericho Tpke
Syosset, NY 11791-4505
Phone
(732) 283-1900
Fax
(908) 903-1672
NPI assigned
Sep 12, 2007
Last updated
Sep 12, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 992610 NY Primary

Addresses

Primary practice location

567 Jericho Tpke
Syosset, NY 11791-4505

Mailing address

20 Thistle LN
Warren, NJ 07059-5564
Phone (908) 903-1670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241202000948 NY Practitioner - Registered Dietitian Or Nutrition Professional 1456886308 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
992610NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
New York Dietetics and Nutrition PLLC Dietitian, Registered CurrentSince Dec 1, 2024 Accepting new patients
Foodandfitnesspro, LLC Dietitian, Registered Current Accepting new patients
Mindful Eating Company LLC Dietitian, Registered Past Accepting new patients
Kingley Health Services NJ LLC Past Accepting new patients

Locations

358 Veterans Memorial Hwy
Ste 10
Commack, NY 11725
Phone (516) 441-9013

400 S Oyster Bay Rd
Ste 300
Hicksville, NY 11801
Phone (215) 776-0389

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, 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": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189555200000",
    "number": "1871788919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 THISTLE LN",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595564",
            "telephone_number": "908-903-1670",
            "fax_number": "908-903-1672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 JERICHO TPKE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914505",
            "telephone_number": "732-283-1900",
            "fax_number": "908-903-1672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "ASHLEY",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "992610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.