Organization Active NPI

Kaufman Surgical PC

  • Pediatric Dentistry
  • Brooklyn, NY
National Provider Identifier
1003228859
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
KAUFMAN SURGICAL PC
Practice address
2120 Ocean Ave
Brooklyn, NY 11229-1426
Phone
(718) 645-1588
Fax
(718) 676-7009
NPI assigned
May 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elan Kaufman, MD
Title
Manager
Phone
(718) 645-1588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

2120 Ocean Ave
Brooklyn, NY 11229-1426

Mailing address

2120 Ocean Ave
Brooklyn, NY 11229-1426
Phone (718) 645-1588

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1003228859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291426",
            "telephone_number": "718-645-1588",
            "fax_number": "718-676-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291426",
            "telephone_number": "718-645-1588",
            "fax_number": "718-676-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAUFMAN SURGICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "ELAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-645-1588",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.