Merrill C Kaufman, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

138339-1 Issued in NY

Practice address

9510 101St Ave
Ozone Park, NY 11416-2518

Phone

(718) 835-3800

Fax

(718) 641-3802

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General PracticeAlso: Internal Medicine

Education

Other, 1978

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ozone Park Medical Diagnostic Assoc. PC

  • Neurology Physician
  • Ozone Park, NY
  • NPI 1629195938

  Internal Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1023060878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162518",
            "telephone_number": "718-835-3800",
            "fax_number": "718-641-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9510 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162518",
            "telephone_number": "718-835-3800",
            "fax_number": "718-641-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "MERRILL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "138339-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Adityanarayan Joseph, PHARMD.
• JPM Physical Therapy, PC
• Bianca Julien, NP
• Kathleen Kammerer
• Kaninghat Prasanth Physician PLLC
• Baljit Kaur
• Wendy Ann Keiser-O'Neill, DC
• Faramarz Khalili, DDS
• Khalsa Care Pharmacy Inc.
• Mansoor A Khan, D.O.

• Internal Medicine Physician in Ozone Park, NY
• Providers in Ozone Park, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.