Physician Compare National (NPI:1760477566)

HEALTHCARE PROVIDER: HARRIS JAY KLEEMAN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1760477566
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8820124282
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100325000247
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KLEEMAN
	Individual professional last name
Provider First Name	HARRIS
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
	Individual professional's medical school
Graduation Year	1979
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1660 E 14TH ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE LL3
	Group Practice or individual's line 2 address
City	BROOKLYN
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	112291172
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7183756969
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330194
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MAIMONIDES MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y