NPIMap

Jeffrey Mark Kaplan, MD

Individual provider Active NPI Diagnostic Radiology Physician · Ridge, NY

NPI 1679570741 · NPPES record last updated Jun 7, 2013

Key facts

NPI
1679570741
Entity type
Individual (NPI type 1)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
License
ME83134 (FL)
Practice address
398 Kingston Dr
Ridge, NY 11961-2016
Phone
(216) 255-5725
Fax
(866) 618-2917
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 9

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME83134FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medlink Management Services Inc Past Accepting new patients
Franklin & Seidelmann Inc Diagnostic Radiology Past Accepting new patients
F&S Radiology, P.C. Diagnostic Radiology Past Accepting new patients
Medlink Management Services Inc Past
since Nov 6, 2024		 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Apex Radiology Past Accepting new patients
Baker County Medical Services Inc Past Accepting new patients
Tampa Bay Radiology Associates PA Diagnostic Radiology Past
since May 17, 2020		 Accepting new patients
FSH Radiology Inc Diagnostic Radiology Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME83134 FL Yes

Addresses

Primary practice location

398 Kingston Dr
Ridge, NY 11961-2016

Mailing address

23625 Commerce Park
#204
Beachwood, OH 44122-5845
Phone (216) 255-5725

Other identifiers

IdentifierTypeStateIssuer
808187700MedicaidID
102324628 0001MedicaidPA
00193664MedicaidNY
7100078610MedicaidKY
7617022MedicaidNC
000576200MedicaidFL
2771193MedicaidOH
2763997MedicaidOH
200933260MedicaidIN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 7, 2013.

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370563200000",
    "number": "1679570741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23625 COMMERCE PARK",
            "address_2": "#204",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225845",
            "telephone_number": "216-255-5725",
            "fax_number": "866-618-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 KINGSTON DR",
            "city": "RIDGE",
            "state": "NY",
            "postal_code": "119612016",
            "telephone_number": "216-255-5725",
            "fax_number": "866-618-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPLAN",
        "first_name": "JEFFREY",
        "middle_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2013-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME83134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808187700",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102324628 0001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00193664",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100078610",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7617022",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000576200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2771193",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2763997",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200933260",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridge, NY

All providers in Ridge, NY · Diagnostic Radiology Physician in New York

Sources for this page

Verify at the official NPI Registry.