Individual provider Active NPI

Alan Kaufman, M.D.

  • Allergy Physician
  • Bronx, NY
National Provider Identifier
1437150513
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
170711 Issued in NY
Practice address
3626 E Tremont Ave
Bronx, NY 10465-2030
Phone
(718) 597-9000
Fax
(718) 597-9001
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 170711 NY Primary

Addresses

Primary practice location

3626 E Tremont Ave
Bronx, NY 10465-2030

Mailing address

3626 E Tremont Ave
Bronx, NY 10465-2030
Phone (718) 597-9000

Other identifiers 1

IdentifierTypeStateIssuer
11F232OtherNYPTAN

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
I20040514001188 NY Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 6800886474 Practice locations: Bronx, NY; Mount Vernon, NY

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of Mercy Medical Center Past Accepting new patients
Our Lady of Mercy Ambulatory Care Center, Inc. Past Accepting new patients
Montefiore North Ambulatory Care Center Inc Past Accepting new patients
Goldberg & Pellegrini, MD, P.C. Past Accepting new patients

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: akaufman@hiemail.healtheconnections.org
  • Direct secure messaging: akaufman@mipa.bronxrhiodirect.org
  • Direct secure messaging: alan_kaufman_care@hiemail.healtheconnections.org

Organizations & group practices 4

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314316800000",
    "number": "1437150513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652030",
            "telephone_number": "718-597-9000",
            "fax_number": "718-597-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652030",
            "telephone_number": "718-597-9000",
            "fax_number": "718-597-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2011-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NY",
            "license": "170711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "11F232",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.