Provider Demographics
NPI:1881767879
Name:KALMAN, JEFFREY STEVEN (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:STEVEN
Last Name:KALMAN
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 1:129 SLOSSON AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-2522
Mailing Address - Country:US
Mailing Address - Phone:718-720-5928
Mailing Address - Fax:718-720-6706
Practice Address - Street 1:129 SLOSSON AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-2522
Practice Address - Country:US
Practice Address - Phone:718-720-5928
Practice Address - Fax:718-720-6706
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY145942207R00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OS124OtherOXFORD
7838085OtherAETNA
JKA48A6210OtherEMPIRE BLUE CROSS BLUE SHIELD
277883OtherUNITED HEALTH CARE
100013462OtherMEDICARE RAILROAD
KJ5942OtherATLANTIS
2C3254OtherHEALTHNET
NPC43009OtherELDERPLAN
145942OtherHIP
2270714OtherUSHC
76823OtherGHI HMO
NYC10280Medicare UPIN
100013462OtherMEDICARE RAILROAD