Aviva Wallace Kaplin, DO

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

OS019743 Issued in PA

Practice address

20 E Abington Ave
Philadelphia, PA 19118-3410

Phone

(323) 854-5647

NPI assigned

Sep 15, 2013

Last updated

Nov 5, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Aviva Adolphe Wallace Former name

Medicare fee-for-service enrollment

Enrolled in PA

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 Surgery

Education

University of New England, College of Osteo Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tasker Healthcare Group PCGroup PAC ID 3072593698, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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

• Tasker Healthcare Group PC

  dba Skinsmart Dermatology

  • Specialist
  • Wyndmoor, PA
  • NPI 1265584577
  Medicare reassignment Care Compare group NPD
• Cornerstone Medical Center, PA

  • Family Medicine Physician
  • Burlington, NC
  • NPI 1548233182
  NPD
• Moses Cone Physician Services Inc

  dba Triad Hospitalists

  • Hospitalist Physician
  • Greensboro, NC
  • NPI 1326363383
  NPD
• Moses Cone Physician Services, Inc.

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1093953127

  Surgery

  NPD
• Moses Cone Physician Services, Inc.

  dba Alamance Gastroenterology

  • Gastroenterology Physician
  • Burlington, NC
  • NPI 1316455223
  NPD
• Afra Health Inc

  • General Practice Physician
  • Folsom, PA
  • NPI 1912676198

  Surgery

  NPD (past)
• Retinovitreous Associates LTD

  • Ophthalmology Physician
  • Wilmington, DE
  • NPI 1952552630
  NPD (past)

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

{
    "created_epoch": "1379203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1346676988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E ABINGTON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183410",
            "telephone_number": "323-854-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E ABINGTON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183410",
            "telephone_number": "323-854-5647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPLIN",
        "first_name": "AVIVA",
        "middle_name": "WALLACE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-15",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2018-00575",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VT",
            "license": "032.0133820",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "OS019743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AVIVA",
            "last_name": "WALLACE",
            "middle_name": "ADOLPHE",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah R. Kaplan, CRNP
• Summer L. Kaplan, M.D.
• Susan Kaplan, MD
• Susan Sufka Kaplan, M.D.
• Agnes C Kaplanowski
• Ketrin Kapllani
• Michelle Kaplun, PHARMD
• Briana S Kaplunov
• Alexandra Kapnek
• Jennifer M Kapo, MD

• Surgery Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.