Active NPI
Ronald Charles Kaufmann, DC, LIAC
- Nutrition Chiropractor
- Rocky Point, NY
National Provider Identifier
1144367038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- X004157-1
- Practice address
- 333 Route 25a
Suite 40
Rocky Point, NY 11778-8556 - Phone
- (631) 209-0050
- NPI assigned
- Jan 31, 2007
- 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 |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | X004157-1 | NY | Primary |
Addresses
Primary practice location
333 Route 25a
Suite 40
Rocky Point, NY 11778-8556
Mailing address
333 Route 25a
Suite 40
Rocky Point, NY 11778-8556
Phone (631) 209-0050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6886K1 | Other | NY | EMHP BLUE CROSS |
| 69877 | Other | NY | YTRA HEALTH FOR ACU |
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 |
|---|---|---|---|
| 004157 | NY | MD | Behavioral Analyst |
| X004157-1 | NY | MD | Nutrition Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322438400000",
"number": "1144367038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 ROUTE 25A",
"address_2": "SUITE 40",
"city": "ROCKY POINT",
"state": "NY",
"postal_code": "117788556",
"telephone_number": "631-209-0050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 ROUTE 25A",
"address_2": "SUITE 40",
"city": "ROCKY POINT",
"state": "NY",
"postal_code": "117788556",
"telephone_number": "631-209-0050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFMANN",
"first_name": "RONALD",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "DC, LIAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2011-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "NY",
"license": "X004157-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMHP BLUE CROSS",
"identifier": "6886K1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "YTRA HEALTH FOR ACU",
"identifier": "69877",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rocky Point, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.