Active NPI
Michael Kufeld
- Specialist
- Oceanside, NY
National Provider Identifier
1003974791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- N004897
- Practice address
- 109 Vermont Ave
Oceanside, NY 11572-5031 - Phone
- (516) 633-2227
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | N004897 | NY | Primary |
Addresses
Primary practice location
109 Vermont Ave
Oceanside, NY 11572-5031
Mailing address
109 Vermont Ave
Oceanside, NY 11572-5031
Phone (516) 633-2227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01269492 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N004897 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215561600000",
"number": "1003974791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 VERMONT AVE",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115725031",
"telephone_number": "516-633-2227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 VERMONT AVE",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115725031",
"telephone_number": "516-633-2227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUFELD",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2008-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "N004897",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01269492",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oceanside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.