Organization Active NPI

Jerry G. Kaplan, M.D., P.C.

  • Specialist
  • Bronx, NY
National Provider Identifier
1528401700
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
129149 Issued in NY
Legal business name
JERRY G. KAPLAN, M.D., P.C.
Practice address
1610 Williamsbridge Rd
3Rd Floor
Bronx, NY 10461-6289
Phone
(718) 794-2505
Fax
(718) 794-2511
NPI assigned
Apr 8, 2013
Last updated
Apr 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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

Authorized official

Name
Mrs. Sara Mayorga
Title
Biller/Administrator
Phone
(718) 597-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 129149 NY Primary

Addresses

Primary practice location

1610 Williamsbridge Rd
3Rd Floor
Bronx, NY 10461-6289

Mailing address

PO Box 273
Chappaqua, NY 10514-0273
Phone (718) 794-2505

Other identifiers 1

IdentifierTypeStateIssuer
00703219MedicaidNY

National Provider Directory

National Provider Directory

Locations

1610 Williamsbridge Rd
Apt 3
Bronx, NY 10461
Phone (718) 597-8000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365379200000",
    "number": "1528401700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 273",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "105140273",
            "telephone_number": "718-794-2505",
            "fax_number": "718-794-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 WILLIAMSBRIDGE RD",
            "address_2": "3RD FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104616289",
            "telephone_number": "718-794-2505",
            "fax_number": "718-794-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY G. KAPLAN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-08",
        "last_updated": "2013-04-08",
        "status": "A",
        "authorized_official_last_name": "MAYORGA",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "BILLER/ADMINISTRATOR",
        "authorized_official_telephone_number": "718-597-8000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "129149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00703219",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; 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.