Peter a Klein, MD, Faad, PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

214206 Issued in NY

Legal business name

PETER A KLEIN, MD, FAAD, PC

Practice address

6 Medical Dr
Suite D
Port Jefferson Station, NY 11776-1594

Phone

(631) 928-7922

Fax

(631) 928-9246

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Peter A Klein, MDNPI 1669444147

Title

Physician Owner

Phone

(631) 928-7922

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BIJBDD

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter A Klein, M.D.

  • Dermatology Physician
  • Port Jefferson Station, NY
  • NPI 1669444147
  Medicare reassignment Care Compare group NPD Authorized official
• Marissa T Ayasse, MD

  • Dermatology Physician
  • Port Jefferson Station, NY
  • NPI 1992389480
  Medicare reassignment Care Compare group NPD
• Brett Marsh Dolgin, D.O.

  • Procedural Dermatology Physician
  • Great Neck, NY
  • NPI 1417206459
  Medicare reassignment Care Compare group NPD
• Vanita Srivastava, D.O.

  • Dermatology Physician
  • Far Rockaway, NY
  • NPI 1891119285
  Medicare reassignment Care Compare group NPD
• William David Tutrone, MD

  • Procedural Dermatology Physician
  • Long Beach, NY
  • NPI 1861643611
  Medicare reassignment Care Compare group NPD
• Adam Joseph Korzenko, M.D.

  • Dermatology Physician
  • Port Jefferson Station, NY
  • NPI 1538356308
  Medicare reassignment Care Compare group
• Renee Fruchter, M.D.

  • Dermatology Physician
  • Bronx, NY
  • NPI 1528590403
  Medicare reassignment NPD
• Seth Wilentz, MD

  • Dermatology Physician
  • New York, NY
  • NPI 1255316121
  Medicare reassignment NPD
• David Silverstein, MD

  • Dermatology Physician
  • Ronkonkoma, NY
  • NPI 1295978252
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1902837396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MEDICAL DR",
            "address_2": "SUITE D",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761594",
            "telephone_number": "631-928-7922",
            "fax_number": "631-928-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MEDICAL DR",
            "address_2": "SUITE D",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761594",
            "telephone_number": "631-928-7922",
            "fax_number": "631-928-9246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER A KLEIN, MD, FAAD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "631-928-7922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "214206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Pearson, M.S. CCC LSP
• Nina Penza, CMHC
• Thushanthi Shanila Perera, M.D.
• Kendall Frances Perks, OTR/L
• Paul Michael Perrone, RN
• Maxine Patricia Peters, R.N.
• Samantha Petie-Judge
• Ashley Anne Petito, LCSW
• Mark Edward Petruzzi, L.AC., L.M.T.
• Philip Melnekoff, PH.D.,PC

• Dermatology Physician in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.