Provider Demographics
NPI:1922023696
Name:KAPLAN, MERVYN ROY (DPM)
Entity Type:Individual
Prefix:DR
First Name:MERVYN
Middle Name:ROY
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:76 SOUNDVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10606-3428
Mailing Address - Country:US
Mailing Address - Phone:914-262-7584
Mailing Address - Fax:914-761-0841
Practice Address - Street 1:111 N CENTRAL AVE STE 231
Practice Address - Street 2:
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-1938
Practice Address - Country:US
Practice Address - Phone:914-681-8868
Practice Address - Fax:914-761-0841
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN0022531213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00405463Medicaid
N69344OtherBLUE SHIELD
154044OtherUNITED HEALTHCARE
252670000OtherWORKERS COMPENSATION US
P257148OtherOXFORD
0053184OtherGHI
NY1922023696OtherMEDICARE NPI
P022534OtherNY WORKERS COMPENSATION
0412430001OtherHEALTHNOW REGION A
0412430001OtherHEALTHNOW REGION A