Provider Demographics
NPI:1962497206
Name:KUPFERMAN, JUAN CLAUDIO (MD)
Entity Type:Individual
Prefix:
First Name:JUAN
Middle Name:CLAUDIO
Last Name:KUPFERMAN
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 1:977 48TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-2919
Mailing Address - Country:US
Mailing Address - Phone:718-283-8015
Mailing Address - Fax:718-635-7235
Practice Address - Street 1:948 48TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-2918
Practice Address - Country:US
Practice Address - Phone:718-283-8260
Practice Address - Fax:718-635-7235
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2076432080P0210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric Nephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY207643-A15OtherHEALTH FIRST
NY526301OtherEMPIRE BCBS
NYKJ7643OtherATLANTIS HEALTH
NY1351306OtherUNITED HEALTHCARE
NY5330409OtherAETNA PPO
NYBK00895-02OtherAMERICHIOCE
NYP1238739OtherOXFORD HEALTH PLANS
NY0568850OtherAETNA USHC HMO
NY1000016353OtherAFFINITY HEALTH
NY207643OtherHIP
NY3399931OtherGHI
NY4C0546OtherHEALTH NET
NY01638224Medicaid
NY48N0221OtherNEIGHBORHOOD HEALTH
NY1351306OtherUNITED HEALTHCARE
NY48N0221OtherNEIGHBORHOOD HEALTH