Individual provider Active NPI

David M Kaufman, MD

  • Specialist
  • New York, NY
National Provider Identifier
1104914100
Registry record updated Feb 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
155320 Issued in NY
Practice address
90 Maiden LN
FL 3
New York, NY 10038-4831
Phone
(646) 290-9560
Fax
(212) 532-4362
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 155320 NY Primary

Addresses

Primary practice location

90 Maiden LN
FL 3
New York, NY 10038-4831

Mailing address

330 W 58TH St
Suite 401
New York, NY 10019-1827
Phone (212) 969-9540

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050310000871 NY Practitioner - Urology 7113971250 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
State University of New York at Stony Brook, School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maiden Lane Medical PLLCGroup PAC ID 2365728698, 19 clinicians

Practice addresses (Care Compare)

90 Maiden LN
FL 3
New York, NY 10038-4831
Phone (646) 290-9560

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Maiden Lane Medical, PLLC CurrentSince Oct 23, 2017 Accepting new patients
Ny Pelvic Pain and Minimally Invasive Gynecologic Surgery PC PastSince Oct 23, 2017 Accepting new patients

Locations

503 5th Ave
Ste 2
Brooklyn, NY 11215

7206 Narrows Ave
Brooklyn, NY 11209
Phone (718) 283-8793

415 W Broadway
#5
New York, NY 10012

110 E 60th St
Rm 903
New York, NY 10022
Phone (649) 290-9560

18 E 41st St
New York, NY 10017
Phone (212) 683-0041

90 Maiden Ln
Rm 300
New York, NY 10038
Phone (646) 240-4560

90 Maiden Ln
Fl 3
New York, NY 10038
Phone (646) 290-9560

90 Maiden Ln
New York, NY 10038
Phone (646) 290-9560

18 E 41st St
Fl 1
New York, NY 10017
Phone (212) 683-0041

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEDBDA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517961600000",
    "number": "1104914100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W 58TH ST",
            "address_2": "SUITE 401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191827",
            "telephone_number": "212-969-9540",
            "fax_number": "212-969-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MAIDEN LN",
            "address_2": "FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384831",
            "telephone_number": "646-290-9560",
            "fax_number": "212-532-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2018-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "155320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.