Provider Demographics
NPI:1194723601
Name:RENTROP, KLAUS PETER (MD)
Entity type:Individual
Prefix:DR
First Name:KLAUS
Middle Name:PETER
Last Name:RENTROP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:K.
Other - Middle Name:PETER
Other - Last Name:RENTROP
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:131 W 35TH ST
Mailing Address - Street 2:FLOOR 7
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-2111
Mailing Address - Country:US
Mailing Address - Phone:212-475-8066
Mailing Address - Fax:212-475-4175
Practice Address - Street 1:131 W 35TH ST
Practice Address - Street 2:FLOOR 7
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-2111
Practice Address - Country:US
Practice Address - Phone:212-475-8066
Practice Address - Fax:212-475-4175
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-08
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY144465-1207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00707915Medicaid
NY0100958OtherAMERICHOICE
NY1000036359OtherAFFINITY
NY2346316OtherCIGNA
NY49447 & 2198900OtherGHI PPO & HMO
NY165435OtherELDERPLAN
NY0455718 & 4094602OtherAETNA USHC HMO & PPO
NY144465OtherHEALTHFIRST
NY4C5966OtherHEALTHNET
NY177461OtherWELLCARE
NYRK4465OtherATLANTIS HEALTH PLAN
NY144360401OtherHEALTHPLUS
NY569P11OtherEMPIRE BCBS
NYMULTIPLANOther45055040
NYPS092OtherOXFORD
NYSP13562OtherCENTERCARE
NY2346316OtherCIGNA
NY0100958OtherAMERICHOICE
NY0455718 & 4094602OtherAETNA USHC HMO & PPO
NY110065412Medicare ID - Type UnspecifiedUHC (RAILROAD)