Organization Active NPI

Larry J Kaufman MD LLC

  • Obstetrics & Gynecology Physician
  • Egg Harbor Township, NJ
National Provider Identifier
1720131378
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MA051241 Issued in NJ
Legal business name
LARRY J KAUFMAN MD LLC
Practice address
2500 English Creek Ave
BLDG B Suite 604
Egg Harbor Township, NJ 08234-5549
Phone
(609) 485-0885
Fax
(609) 485-0882
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Larry J Kaufman, MDNPI 1558304568
Title
Owner
Phone
(609) 485-0885

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X MA051241 NJ Primary

Addresses

Primary practice location

2500 English Creek Ave
BLDG B Suite 604
Egg Harbor Township, NJ 08234-5549

Mailing address

2500 English Creek Ave
BLDG B Suite 604
Egg Harbor Township, NJ 08234-5549
Phone (609) 485-0885

Other names 1

  • Women's Medical Specialty Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070330000161 NJ Part B Supplier - Clinic/Group Practice 9133223175 Receives reassigned benefits from 1 practitioner
Practice locations: Egg Harbor Township, NJ; Galloway, NJ

National Provider Directory

National Provider Directory

Locations

2500 English Creek Ave
Ste 604
Egg Hbr Twp, NJ 08234
Phone (609) 485-0885

76 W Jimmie Leeds Rd
Ste 304
Galloway, NJ 08205
Phone (609) 485-0885

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720131378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 ENGLISH CREEK AVE",
            "address_2": "BLDG B SUITE 604",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345549",
            "telephone_number": "609-485-0885",
            "fax_number": "609-485-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ENGLISH CREEK AVE",
            "address_2": "BLDG B SUITE 604",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345549",
            "telephone_number": "609-485-0885",
            "fax_number": "609-485-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY J KAUFMAN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-485-0885",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "MA051241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women's Medical Specialty",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Egg Harbor Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.