Individual provider Active NPI

Darren Scott Kaufman, M.D.

  • Nephrology Physician
  • Port Jefferson Station, NY
National Provider Identifier
1578678249
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
178674 Issued in NY
Practice address
5225 Nesconset Hwy
Suite 60 - Building 13
Port Jefferson Station, NY 11776-2053
Phone
(631) 406-6676
Fax
(631) 331-3292
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 178674 NY Primary

Addresses

Primary practice location

5225 Nesconset Hwy
Suite 60 - Building 13
Port Jefferson Station, NY 11776-2053

Mailing address

5225 Nesconset Hwy
Suite 60 - Building 13
Port Jefferson Station, NY 11776-2053
Phone (631) 406-6676

Other identifiers 2

IdentifierTypeStateIssuer
800AN1OtherNYBCBS
800AN2OtherNYBCBS

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
I20040518001071 NY Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Neurology 9032100243 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Hematology Oncology Associates PC CurrentSince Nov 1, 2020 Accepting new patients

Locations

26 Research Way
East Setauket, NY 11733
Phone (631) 444-0502

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

5225 Route 347
Ste 60
Port Jefferson Station, NY 11776
Phone (631) 406-6676

750 Old Country Rd
Bldg 2
Riverhead, NY 11901
Phone (631) 450-1500

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

2500 Route 347
Bldg 14A
Stony Brook, NY 11790
Phone (631) 689-7000

Organizations & group practices 1

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1578678249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 NESCONSET HWY",
            "address_2": "SUITE 60 - BUILDING 13",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762053",
            "telephone_number": "631-406-6676",
            "fax_number": "631-331-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 NESCONSET HWY",
            "address_2": "SUITE 60 - BUILDING 13",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762053",
            "telephone_number": "631-406-6676",
            "fax_number": "631-331-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "DARREN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "178674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "800AN1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "800AN2",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson Station, NY

Sources for this page

Verify at the official NPI Registry.