Individual provider Active NPI

Jennifer H Klein, MD

  • Pediatrics Physician
  • Columbia, MD
National Provider Identifier
1932200755
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0055637 Issued in MD
Practice address
6350 Stevens Forest Rd Ste 105
Suite 134
Columbia, MD 21046-3255
Phone
(443) 259-3770
Fax
(443) 259-3711
NPI assigned
Sep 26, 2006
Last updated
Aug 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0055637 MD Primary

Addresses

Primary practice location

6350 Stevens Forest Rd Ste 105
Suite 134
Columbia, MD 21046-3255

Mailing address

9613 Harford Rd Ste 134
Parkville, MD 21234-2150
Phone (443) 461-6767

Other names 1

  • Jennifer Zinderman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050607000504 MD Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 9335182732 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians CurrentSince Oct 20, 2014 Accepting new patients
Johns Hopkins Community Physicians, Inc Pediatrics CurrentSince Oct 20, 2014 Accepting new patients
Emergency Medicine Associates P.a., P.C. Pediatrics Past Accepting new patients
Mid-Atlantic Critical Care Services,L.L.C. PastSince Mar 1, 2013 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

6350 Stevens Forest Rd
Ste 102
Columbia, MD 21046
Phone (443) 259-3770

9910 Franklin Square Dr
#2110
Nottingham, MD 21236
Phone (410) 933-5412

Interoperability endpoints

  • Direct secure messaging: jzinderman28374@direct.kennedykrieger.org

Organizations & group practices 5

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1932200755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9613 HARFORD RD STE 134",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212342150",
            "telephone_number": "443-461-6767",
            "fax_number": "443-259-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 STEVENS FOREST RD STE 105",
            "address_2": "SUITE 134",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463255",
            "telephone_number": "443-259-3770",
            "fax_number": "443-259-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "JENNIFER",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0055637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ZINDERMAN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.