Provider Demographics
NPI:1548244577
Name:KAPLAN, MEL B (MD)
Entity Type:Individual
Prefix:
First Name:MEL
Middle Name:B
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 1:6101 PINE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-3900
Mailing Address - Country:US
Mailing Address - Phone:239-348-4387
Mailing Address - Fax:239-348-4193
Practice Address - Street 1:232 4TH AVE
Practice Address - Street 2:
Practice Address - City:GREENPORT
Practice Address - State:NY
Practice Address - Zip Code:11944-1526
Practice Address - Country:US
Practice Address - Phone:631-477-0070
Practice Address - Fax:631-477-8983
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-02
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1540881207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00928212Medicaid
A63417Medicare UPIN
59D801Medicare PIN