Provider Demographics
NPI:1629081815
Name:KAPLITT, MARTIN J (MD)
Entity Type:Individual
Prefix:
First Name:MARTIN
Middle Name:J
Last Name:KAPLITT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:MARTIN
Other - Middle Name:J
Other - Last Name:KAPLITT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:27110 GRAND CENTRAL PKWY
Mailing Address - Street 2:APT 32E
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11005-1245
Mailing Address - Country:US
Mailing Address - Phone:718-229-3807
Mailing Address - Fax:718-747-0569
Practice Address - Street 1:27110 GRAND CENTRAL PKWY
Practice Address - Street 2:APT 32E
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11005-1245
Practice Address - Country:US
Practice Address - Phone:718-229-3807
Practice Address - Fax:718-747-0569
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0925792086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY684831Medicare ID - Type Unspecified
B18544Medicare UPIN