1922023696 NPI number — DR. MERVYN ROY KAPLAN DPM

Table of content: DR. MERVYN ROY KAPLAN DPM (NPI 1922023696)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922023696 NPI number — DR. MERVYN ROY KAPLAN DPM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KAPLAN
Provider First Name:
MERVYN
Provider Middle Name:
ROY
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DPM
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922023696
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/04/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
76 SOUNDVIEW AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WHITE PLAINS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10606-3428
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-262-7584
Provider Business Mailing Address Fax Number:
914-761-0841

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
111 N CENTRAL AVE STE 231
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HARTSDALE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10530-1938
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-681-8868
Provider Business Practice Location Address Fax Number:
914-761-0841
Provider Enumeration Date:
07/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 213E00000X , with the licence number:  N0022531 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00405463 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: N69344 . This is a "BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 154044 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 252670000 . This is a "WORKERS COMPENSATION US" identifier . This identifiers is of the category "OTHER".
  • Identifier: P257148 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0053184 . This is a "GHI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1922023696 . This is a "MEDICARE NPI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P022534 . This is a "NY WORKERS COMPENSATION" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0412430001 . This is a "HEALTHNOW REGION A" identifier . This identifiers is of the category "OTHER".




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