Individual provider Active NPI

William Nathan Kaufman, DO

  • Obstetrics & Gynecology Physician
  • Little Silver, NJ
National Provider Identifier
1710976519
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MB02951100 Issued in NJ
Practice address
200 White Rd
Suite 105
Little Silver, NJ 07739-1150
Phone
(732) 741-3331
Fax
(732) 741-5119
NPI assigned
Oct 14, 2005
Last updated
Sep 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MB02951100 NJ Primary

Addresses

Primary practice location

200 White Rd
Suite 105
Little Silver, NJ 07739-1150

Mailing address

200 White Rd
Suite 105
Little Silver, NJ 07739-1150
Phone (732) 741-3331

Other identifiers 1

IdentifierTypeStateIssuer
0252506MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20101221000755 NJ Practitioner - Obstetrics/Gynecology 8729276555 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB02951100NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Medical Associates, LLC Obstetrics & Gynecology CurrentSince Dec 1, 2010 Accepting new patients

Locations

16 Pocono Rd
Frnt
Denville, NJ 07834
Phone (973) 784-3935

302 Candlewood Cmns
Howell, NJ 07731
Phone (732) 905-8111

200 White Rd
Ste 105
Little Silver, NJ 07739
Phone (732) 741-3331

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

99 Cherry Hill Rd
Ste 220
Parsippany, NJ 07054
Phone (973) 316-6763

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1710976519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WHITE RD",
            "address_2": "SUITE 105",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391150",
            "telephone_number": "732-741-3331",
            "fax_number": "732-741-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WHITE RD",
            "address_2": "SUITE 105",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391150",
            "telephone_number": "732-741-3331",
            "fax_number": "732-741-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "WILLIAM",
        "middle_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MB02951100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0252506",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Silver, NJ

Sources for this page

Verify at the official NPI Registry.