Individual provider Active NPI

Devon A Klein, MD

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1891879805
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
218823 Issued in NY
Practice address
100 E 77TH St
New York, NY 10021-1850
Phone
(212) 434-2685
Fax
(212) 434-2253
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 218823 NY Primary

Addresses

Primary practice location

100 E 77TH St
New York, NY 10021-1850

Mailing address

PO Box 52788
Knoxville, TN 37950-2788
Phone (865) 588-2928

Other identifiers 3

IdentifierTypeStateIssuer
758T51OtherNYEMPIRE BCBS
0075884MedicaidNJ
02659770MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050723000089 NY Practitioner - Diagnostic RadiologyPractitioner - Other (Physician) 5496782294 Reassigns benefits to 1 organization
I20200806001496 NJ Practitioner - Diagnostic Radiology 5496782294 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ancillary Services of Practice Associates PAGroup PAC ID 4981026192, 99 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5370

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218823NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ancillary Services of Practice Associates PA Diagnostic Radiology CurrentSince Aug 17, 2020 Accepting new patients
North Shore - Lij Medical PC CurrentSince Jul 1, 2012 Accepting new patients
Women's Healthcare Imaging, Corp. CurrentSince Jan 9, 2025 Accepting new patients
North Shore-Lij Medical PC CurrentSince Jul 1, 2012 Accepting new patients
Atlantic Urgent Care, LLC CurrentSince Dec 3, 2021 Accepting new patients
Hunterdon Ambulatory Services LLC CurrentSince Jan 29, 2021 Accepting new patients
Practice Associates Medical Group Past Accepting new patients
William R. Collini, M.D., P.a. Past Accepting new patients

Locations

1121 Route 22
Ste 103
Bridgewater, NJ 08807
Phone (908) 237-4001

100 Commerce Pl
Clark, NJ 07066
Phone (732) 388-2620

140 Central Ave
Ste 600
Clark, NJ 07066
Phone (732) 943-5030

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

465 South St
Ste 200
Morristown, NJ 07960
Phone (973) 971-7130

181 High St
Newton, NJ 07860
Phone (973) 383-9898

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

1000 Galloping Hill Rd
Union, NJ 07083
Phone (908) 522-6280

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

1155 Northern Blvd
Ste 330
Manhasset, NY 11030
Phone (516) 627-4330

1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242

400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200

100 E 77th St
New York, NY 10075
Phone (212) 434-2606

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

Organizations & group practices 8

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 5

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207526400000",
    "number": "1891879805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52788",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379502788",
            "telephone_number": "865-588-2928",
            "fax_number": "865-450-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E 77TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100211850",
            "telephone_number": "212-434-2685",
            "fax_number": "212-434-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "DEVON",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "218823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "758T51",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0075884",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02659770",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.