Provider Demographics
NPI:1043269269
Name:KAPLAN, ROBERT EDWARD (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:EDWARD
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 LINWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14209-2009
Mailing Address - Country:US
Mailing Address - Phone:716-932-6423
Mailing Address - Fax:716-932-6007
Practice Address - Street 1:237 LINWOOD AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14209-2009
Practice Address - Country:US
Practice Address - Phone:716-932-6423
Practice Address - Fax:716-932-6007
Is Sole Proprietor?:No
Enumeration Date:2006-05-06
Last Update Date:2014-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1577782208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01209067Medicaid
000510282004OtherBC/BS
NY040426000163OtherFIDELIS-AUDUBON OFFICE
NY040426000162OtherFIDELIS-LINWOOD AVE
00010087602OtherUNIVERA
NY000510282001OtherBC/BS OF WNY
050303000029OtherFIDELIS
080407000096OtherFIDELIS
1201997OtherIHA
NY00010087601OtherUNIVERA
080407000096OtherFIDELIS
000510282004OtherBC/BS