Mitchell Glenn Kaufman

Primary specialty

OpticianTaxonomy code 156FX1800X

License

6896-1 Issued in NY

Practice address

3419 Avenue S
Brooklyn, NY 11234-4825

Phone

(347) 351-2334

NPI assigned

Apr 25, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1669730834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 MADISON PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292630",
            "telephone_number": "347-351-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3419 AVENUE S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344825",
            "telephone_number": "347-351-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "MITCHELL",
        "middle_name": "GLENN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-25",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "6896-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Kaufman, D.D.S.
• Kaitlin Kaufman, LMT
• Mark Kaufman, DDS
• Mashi Kaufman, TVI
• Miriam Kaufman
• Naomi Kaufman, OTR/L
• Penina Kaufman, CCC/SLP
• Randi Kaufman
• Rita Kaufman
• Robert Jack Kaufman, DDS

• Optician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.