Provider Demographics
NPI:1346201944
Name:KAPLAN, PERRY (DO)
Entity Type:Individual
Prefix:
First Name:PERRY
Middle Name:
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 99
Mailing Address - Street 2:
Mailing Address - City:OAKLYN
Mailing Address - State:NJ
Mailing Address - Zip Code:08107-0099
Mailing Address - Country:US
Mailing Address - Phone:856-854-2666
Mailing Address - Fax:856-854-8443
Practice Address - Street 1:606 WHITE HORSE PIKE
Practice Address - Street 2:
Practice Address - City:OAKLYN
Practice Address - State:NJ
Practice Address - Zip Code:08107-1220
Practice Address - Country:US
Practice Address - Phone:856-854-2666
Practice Address - Fax:856-854-8443
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-31
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB01932700207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
1002742OtherHORIZON NJ HEALTH
NJ2030802Medicaid
0K6591OtherHEALTHNET
47094OtherAETNA USHC
01000244300OtherAMERICHOICE
JP047OtherOXFORD
0074720001OtherAMERIHEALTH/KEYSTONE
37017OtherAMERIGROUP
JP047OtherOXFORD
E06133Medicare UPIN