Individual provider Active NPI

Mitchell A Kline, M.D.

  • Specialist
  • New York, NY
National Provider Identifier
1932136231
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
169608 Issued in NY
Practice address
700 Park Ave
New York, NY 10021-7098
Phone
(212) 517-6555
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 169608 NY Primary

Addresses

Primary practice location

700 Park Ave
New York, NY 10021-7098

Mailing address

700 Park Ave
New York, NY 10021-0104
Phone (212) 517-6555

Other identifiers 5

IdentifierTypeStateIssuer
9681544OtherNYGHI
NS651OtherNYOXFORD INS
NY5967OtherNYHEALTHNET
004262282OtherNYAETNA
3K6710OtherNYBLUECROSS/BLUESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 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
I20060420000675 NY Practitioner - Dermatology 6901815885 Reassigns benefits to 2 organizations
I20190930000481 FL Practitioner - Dermatology 6901815885 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Perelman School of Med at the University of Pennsylvania, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

34 Bay St
Suite 201
Sag Harbor, NY 11963-3104
Phone (631) 919-5087

Merit-based Incentive Payment System (MIPS)

Final score
96.67 of 100Reported as individual
Quality
93.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision43
Removal of tissue11
Removal of skin lesions470
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy268

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Water'S Edge Dermatology, LLC CurrentSince Mar 12, 2021 Accepting new patients
Water'S Edge Dermatology, LLC CurrentSince Mar 12, 2021 Accepting new patients
Naples Center for Dermatology & Riverchase Dermatology CurrentSince Jan 1, 2022 Accepting new patients
Union Square Laser Dermatology CurrentSince Jun 1, 2023 Accepting new patients
Aqua Dermatology of Florida, PA CurrentSince Jan 1, 2022 Accepting new patients
Mitchell a. Kline MD PC Specialist CurrentSince Dec 5, 2008 Accepting new patients
RM Dermatology, PLLC PastSince Mar 1, 2026 Accepting new patients

Locations

5101 Okeechobee Rd
Fort Pierce, FL 34947
Phone (772) 595-5995

6250 Lantana Rd
Ste 9
Lake Worth, FL 33463
Phone (561) 578-8100

3659 S Miami Ave
Ste 6008
Miami, FL 33133
Phone (305) 854-5432

1015 Crosspointe Dr
Naples, FL 34110
Phone (239) 596-9075

14840 Tamiami Trl
North Port, FL 34287
Phone (941) 564-1542

301 NE 19th Dr
Okeechobee, FL 34972
Phone (863) 357-0039

2845 Pga Blvd
Palm Beach Gardens, FL 33410
Phone (561) 693-0540

600 Village Square Xing
Palm Beach Gardens, FL 33410
Phone (561) 693-0540

264 NW Peacock Blvd
Ste 201
St Lucie West, FL 34986
Phone (772) 323-2321

38162 Medical Center Ave
Zephyrhills, FL 33540
Phone (813) 782-2165

19 Union Sq W
Fl 5
New York, NY 10003
Phone (212) 366-5400

34 Bay St
Sag Harbor, NY 11963
Phone (212) 517-6555

34 Bay St
Ste 201
Sag Harbor, NY 11963
Phone (631) 919-5087

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1932136231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100210104",
            "telephone_number": "212-517-6555",
            "fax_number": "212-472-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100217098",
            "telephone_number": "212-517-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINE",
        "first_name": "MITCHELL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "169608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "9681544",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD INS",
            "identifier": "NS651",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "NY5967",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "004262282",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "3K6710",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.