Organization Active NPI

Mitchell L Kaphan MD PLLC

  • Orthopaedic Surgery Physician
  • New Rochelle, NY
National Provider Identifier
1316259658
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
139985 Issued in NY
Legal business name
MITCHELL L KAPHAN MD PLLC
Practice address
9 Mildred Pkwy
New Rochelle, NY 10804-2106
Phone
(914) 632-3350
Fax
(914) 576-7853
NPI assigned
Jul 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Authorized official

Name
Mitchell L Kaphan, MD
Title
Owner
Phone
(914) 632-3350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 139985 NY Primary

Addresses

Primary practice location

9 Mildred Pkwy
New Rochelle, NY 10804-2106

Mailing address

9 Mildred Pkwy
New Rochelle, NY 10804-2106
Phone (914) 632-3350

Other identifiers 1

IdentifierTypeStateIssuer
00775140MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1316259658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MILDRED PKWY",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108042106",
            "telephone_number": "914-632-3350",
            "fax_number": "914-576-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MILDRED PKWY",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108042106",
            "telephone_number": "914-632-3350",
            "fax_number": "914-576-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL L KAPHAN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-01",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "KAPHAN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-632-3350",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "139985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00775140",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.