MISS KRISTEN ANN KLEIN (NPI# 1194107961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194107961 |
| Entity Type | Individual |
| Full Name | MISS KRISTEN ANN KLEIN |
| Credential | RN, ANP |
| Practice Address |
635 Belle Terre Rd Ste 209 Port Jefferson NY 11777 |
| Mailing Address |
92 Avalon Cir Apt 92 Smithtown NY 11787-3867 |
| Practice Telephone | 6314740707 |
| Mailing Telephone | 5168856547 |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2018-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F307325-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
F307325-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Nicolls Rd, Stony Brook, NY 117940001 | 6314441800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174015457 | Kristen Marie Klein | Midwife | 100 Burgoyne Rd, Schuylerville, NY 12871-1856 | 2018-06-03 |
| Street Address |
635 BELLE TERRE RD STE 209 |
| City | PORT JEFFERSON |
| State | NY |
| Zip Code | 11777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275848970 | Samuel Pearce Brown | Physical Medicine & Rehabilitation | 635 Belle Terre Rd Ste 209, Port Jefferson, NY 11777-1987 | 2010-08-18 |
| 1679120679 | Karin Merrins | Nurse Practitioner | 635 Belle Terre Rd Ste 209, Port Jefferson, NY 11777-1987 | 2019-08-23 |
| 1215495700 | Staci Marie Clabough | Nurse Practitioner | 635 Belle Terre Rd Ste 209, Port Jefferson, NY 11777-1987 | 2019-03-04 |
| 1134634645 | Long Island Physician Affiliates, Pllc | Anesthesiology | 635 Belle Terre Rd Ste 209, Port Jefferson, NY 11777-1935 | 2017-12-06 |
| 1518256767 | Ross Eliott Lipton | Neuromusculoskeletal Medicine, Sports Medicine | 635 Belle Terre Rd Ste 209, Port Jefferson, NY 11777 | 2011-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088615 | Aqsa Ashraf | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-24 |
| 1366068975 | Manal Ahmad | Student in an Organized Health Care Education/Training Program | 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 | 2020-06-19 |
| 1639794555 | Umair Ahmad Ansari | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 | 2020-06-16 |
| 1578188132 | Manasi Sule | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-10 |
| 1508480716 | Imona Subedi | Student in an Organized Health Care Education/Training Program | 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 | 2020-06-03 |
| 1184252108 | Romana Imtiaz Syed | Student in an Organized Health Care Education/Training Program | Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 | 2020-03-27 |
| 1649807348 | Mustafa Mohammed Abdulsada | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 | 2020-03-24 |
| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1811554637 | Kausar Ali | Nurse Practitioner | 408 Thompson Street, Port Jefferson, NY 11777 | 2019-05-28 |
| 1073097531 | Ministry for Hope, Inc. Montfort Therapeutic Residence | Residential Treatment Facility, Physical Disabilities | 100 Stonyhill Road, Port Jefferson, NY 11777 | 2018-09-20 |
| Find all providers in zip 11777 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003060229 | Janice Fleischman Eaton | Nurse Practitioner | 23 Old Post Road East, Port Jefferson, NY 11777-1957 | 2008-11-14 |
| 1902974330 | Cynthia A Price | Nurse Practitioner | 125 Oakland Ave, Port Jefferson, NY 11777-2130 | 2006-12-01 |
| 1346243987 | Stacey Luise Tursi | Nurse Practitioner | 200 Belle Terre Rd, Dept. of Nursing Education, Port Jefferson, NY 11777 | 2005-05-27 |
| 1952940942 | Katherine Rosangela Quezada | Nurse Practitioner | 625 Belle Terre Rd, Port Jefferson, NY 11777-2316 | 2019-12-23 |
| 1134760648 | Margaret Mary Cherpak | Nurse Practitioner | 66 Cliff Rd, Port Jefferson, NY 11777-1033 | 2019-10-05 |
| 1679120679 | Karin Merrins | Nurse Practitioner | 635 Belle Terre Rd Ste 209, Port Jefferson, NY 11777-1987 | 2019-08-23 |
| 1629625116 | Joann Lynn Brazil | Nurse Practitioner | 1500 Route 112, Building #2 Suite B, Port Jefferson, NY 11777 | 2019-08-20 |
| 1760994248 | Maria Susan Rubino | Nurse Practitioner | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2017-10-24 |
| 1386096881 | Theresa Aiello | Nurse Practitioner | 70 N Country Rd, Port Jefferson, NY 11777-2161 | 2016-07-07 |
| 1750769808 | Michelle Byrne | Nurse Practitioner | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2015-05-09 |
| Find all providers in PORT JEFFERSON | ||||
| City | PORT JEFFERSON |
| Zip Code | 11777 |
Please comment or provide details below to improve the information on MISS KRISTEN ANN KLEIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.