Jamie Ilene Klein, PA-C
Physician Assistant in Merrick, NY. Individual provider (NPI-1).
NPI number1124584172
StatusActive
Last updated in NPPESMar 7, 2022
Details
- NPI
- 1124584172
- Entity type
- Individual (NPI-1)
- Name
- Jamie Ilene Klein
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 14, 2019
- Certification date
- Feb 20, 2022
- Last updated
- Mar 7, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 023285 | NY | Yes |
Practice location
1728 Sunrise HwyMerrick, NY 11566-3745
Phone 516-218-6789
Mailing address
1210 Astoria Park SAstoria, NY 11102-3701
Phone 516-458-0849
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All 27 Physician Assistant providers in Merrick · All 982 providers in Merrick
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