JAKE A. KLEINMAHON MD – NPI #1629368014
Pediatrics

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

JAKE KLEINMAHON is a physician located in NEW HYDE PARK, NY. NPPES has assigned the NPI number 1629368014 to JAKE KLEINMAHON on April 19, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2080P0202X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Cardiology

The NPI profile was last updated on Jan 20, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JAKE KLEINMAHON below.

NPI Profile for
JAKE A. KLEINMAHON

NPI Number
1629368014
Enumeration Date

(more than 15 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JAKE A. KLEINMAHON
Credentials
MD
Primary location
1111 MARCUS AVE STE M15
NEW HYDE PARK, NY 11042-1034
Phone: (516) 601-7200 Fax:
1 Other location(s):
13123 E 16th Ave
Department of Cardiology
Aurora, CO 80045-7106
Phone: (720) 777-6820
Fax: (720) 777-7290
Mailing address
9 CANTERBURY LN
ROSLYN HEIGHTS, NY 11577-1401
Phone: (914) 420-4678 Fax:
Sole Proprietor
No
Updated
Certification Date
Jan 20, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0202X
- Pediatrics / Pediatric Cardiology (Primary)
NY 325391
390200000X
- Student in an Organized Health Care Education/Training Program

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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