Individual provider Active NPI

Benjamin Adam Klyachman, DO

  • Physical Medicine & Rehabilitation Physician
  • Roslyn Heights, NY
National Provider Identifier
1992265375
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
319802 Issued in NY
Practice address
66 Powerhouse Rd Ste 403
Roslyn Heights, NY 11577-1445
Phone
(516) 234-5348
NPI assigned
Mar 22, 2019
Last updated
Oct 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 319802 NY Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 319802 NY

Addresses

Primary practice location

66 Powerhouse Rd Ste 403
Roslyn Heights, NY 11577-1445

Mailing address

PO Box 76
Jericho, NY 11753-0076
Phone (516) 234-5348

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
I20250128003704 NY Practitioner - Physical Medicine and Rehabilitation 8426587965 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Touro Un Col of Osteopathic Medicine, New York, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1615 Northern Blvd
GR1
Manhasset, NY 11030-3008
Phone (516) 888-7614

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
319802NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KM Rehabilitation Physicians PLLC Physical Medicine & Rehabilitation CurrentSince Dec 20, 2025 Accepting new patients
Interventional Physical Medicine and Rehab of New York, PLLC Physical Medicine & Rehabilitation CurrentSince Dec 1, 2024 Accepting new patients
Kumar Medical Pain Management PC Physical Medicine & Rehabilitation PastSince Jan 12, 2025 Accepting new patients

Locations

53 Brentwood Rd
Ste F
Bay Shore, NY 11706
Phone (631) 647-5546

4564 Francis Lewis Blvd
Ste 200
Bayside, NY 11361
Phone (516) 888-7614

2241 New Haven Ave
Ste 110
Far Rockaway, NY 11691

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

1103 Stewart Ave
Ste 301
Garden City, NY 11530
Phone (516) 243-7775

15 Saint Pauls Pl
Great Neck Plaza, NY 11021
Phone (516) 446-3001

3000 Hempstead Tpke
Ste 112
Levittown, NY 11756
Phone (516) 888-7614

970 Wellwood Ave
Lindenhurst, NY 11757
Phone (631) 225-1289

1615 Northern Blvd
#1
Manhasset, NY 11030
Phone (516) 888-7614

1615 Northern Blvd
Ste GR1
Manhasset, NY 11030
Phone (516) 823-6570

25 Schoenfeld Blvd
Patchogue, NY 11772
Phone (631) 289-7700

100 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 536-2953

140 W Merrick Rd
Valley Stream, NY 11580
Phone (516) 888-7614

138 Hillside Ave
Williston Pk, NY 11596
Phone (516) 509-8599

1050 Central Ave
Woodmere, NY 11598
Phone (516) 374-9300

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

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

Organizations & group practices 3

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": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1992265375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 76",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117530076",
            "telephone_number": "516-234-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 POWERHOUSE RD STE 403",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771445",
            "telephone_number": "516-234-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLYACHMAN",
        "first_name": "BENJAMIN",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-22",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "319802",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "319802",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn Heights, NY

Sources for this page

Verify at the official NPI Registry.