Individual provider Active NPI

Sofya Kleyn

  • Geriatric Medicine (Internal Medicine) Physician
  • New York, NY
National Provider Identifier
1972628865
Registry record updated Dec 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
243074 Issued in NY
Practice address
225 Broadway
Suite 1420
New York, NY 10007-3001
Phone
(212) 571-5000
Fax
(888) 535-2703
NPI assigned
Mar 20, 2007
Last updated
Dec 28, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 243074 NY Primary

Addresses

Primary practice location

225 Broadway
Suite 1420
New York, NY 10007-3001

Mailing address

225 Broadway
Suite 1420
New York, NY 10007
Phone (212) 571-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070824000832 NY Practitioner - Internal Medicine 3678665312 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salut Medical PCGroup PAC ID 8820385107, 3 clinicians
Modern Medical PCGroup PAC ID 2769458090, 7 clinicians
Nyc Medical Doctor P.C.Group PAC ID 2961669643, 9 clinicians

Practice addresses (Care Compare)

1837 E 17TH St
Apt 5a
Brooklyn, NY 11229-2948
Phone (917) 554-5735

225 Broadway
Suite 910
New York, NY 10007-3008
Phone (212) 571-5000

53 Ocean Ave
Bay Shore, NY 11706-8756
Phone (631) 206-1200

699 Stanley Ave
Brooklyn, NY 11207-7905
Phone (347) 689-8880

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Medical PC CurrentSince Sep 29, 2003 Accepting new patients
Salut Medical PC CurrentSince Oct 1, 2016 Accepting new patients
Special Medical PC CurrentSince Dec 1, 2022 Accepting new patients
Nyc Medical Doctor P.C. Geriatric Medicine CurrentSince Sep 1, 2012 Accepting new patients
Island of Health Medical PC Past Accepting new patients

Locations

53 Ocean Ave
Bay Shore, NY 11706
Phone (516) 280-9744

699 Stanley Ave
Brooklyn, NY 11207
Phone (347) 689-8880

699 Stanley Ave
#D
Brooklyn, NY 11207
Phone (347) 689-8880

225 Broadway
Ste 910
New York, NY 10007
Phone (212) 571-5000

225 Broadway
Ste 1420
New York, NY 10007
Phone (212) 312-5090

11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388188800000",
    "number": "1972628865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 BROADWAY",
            "address_2": "SUITE 1420",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10007",
            "telephone_number": "212-571-5000",
            "fax_number": "888-535-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BROADWAY",
            "address_2": "SUITE 1420",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100073001",
            "telephone_number": "212-571-5000",
            "fax_number": "888-535-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEYN",
        "first_name": "SOFYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2013-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "243074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.