Provider Demographics
NPI:1275515983
Name:KAPLAN, JEFFREY ANDREW (DPM)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:ANDREW
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:681 WHISKEY RD
Mailing Address - Street 2:
Mailing Address - City:RIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:11961-1116
Mailing Address - Country:US
Mailing Address - Phone:631-744-0181
Mailing Address - Fax:
Practice Address - Street 1:681 WHISKEY RD
Practice Address - Street 2:
Practice Address - City:RIDGE
Practice Address - State:NY
Practice Address - Zip Code:11961-1116
Practice Address - Country:US
Practice Address - Phone:631-744-0181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005161213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
P77262Medicare PIN
U42135Medicare UPIN