Elliot Martin Kaufman, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

042-0011414 Issued in VT

Practice address

154 Duchess Ave
Newport, VT 05855-5516

Phone

(802) 334-6744

Fax

(802) 334-7450

NPI assigned

May 11, 2007

Last updated

Jun 27, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340755200000",
    "number": "1093920266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 BEAR ROCK RD",
            "city": "STEWARTSTOWN",
            "state": "NH",
            "postal_code": "035765513",
            "telephone_number": "603-237-8994",
            "fax_number": "603-237-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 DUCHESS AVE",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058555516",
            "telephone_number": "802-334-6744",
            "fax_number": "802-334-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "ELLIOT",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2012-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "016683",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VT",
            "license": "042-0011414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001362",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hope Iula
• Kristen L Jackson, OTR
• Susan G Jacobs, LADC
• James V. Wyllie, DDS P.C.
• Paul M Julien, MD
• Kassidee Tabor Keefe, MS
• Keene Medical Products, LLC (AdaptHealth New England)
• Patrick Keith, MD
• Matthew Kelley, M.D.
• Sullivan James Kiley, M.S.

• Psychiatry Physician in Newport, VT
• Providers in Newport, VT by specialty
• Psychiatry Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; 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.