Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jake Alexander Kleinmahon, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1629368014

Dr. Jake Alexander Kleinmahon, MD is a Student in an Organized Health Care Education/Training Program in New Hyde Park, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1111 Marcus Ave Ste M15
New Hyde Park, NY 11042-1034
Phone: (516) 601-7200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X · Licence 325391 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1629368014
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 19, 2011
Last updated in NPPESJanuary 20, 2025
Certification dateJanuary 20, 2025

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