Healthcare Provider Details

I. General information

NPI: 1063325074
Provider Name (Legal Business Name): JAMES KLEPPER MD FACC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 E MAIN ST
HUNTINGTON NY
11743-2980
US

IV. Provider business mailing address

232 E MAIN ST
HUNTINGTON NY
11743-2980
US

V. Phone/Fax

Practice location:
  • Phone: 631-812-1000
  • Fax: 631-812-1000
Mailing address:
  • Phone: 631-812-1000
  • Fax: 631-812-1000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMES KLEPPER
Title or Position: OWNER
Credential:
Phone: 631-812-1000