Active NPI
Mitchel Alan Kaplan
- Psychiatry Physician
- White Plains, NY
National Provider Identifier
1740205509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 124108
- Practice address
- Three Barker Avenue
Park Avenue Medical Associates PC 4TH Floor
White Plains, NY 10601 - Phone
- (914) 949-1199
- Fax
- (914) 949-1245
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 124108 | NY | |
| Psychiatry Physician | 2084P0800X | 124108 | NY | Primary |
Addresses
Primary practice location
Three Barker Avenue
Park Avenue Medical Associates PC 4TH Floor
White Plains, NY 10601
Mailing address
Three Barker Avenue
Park Avenue Medical Associates PC 4TH Floor
White Plains, NY 10601
Phone (914) 949-1199
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0480835 | Other | EVERCARE | |
| 00547782 | Medicaid | NY | |
| 0340EG | Other | MCARE GHI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124108 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Avenue Senior Medicine, P.C. | Past | Accepting new patients |
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- White Plains, NY
- NPI 1528077724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329868800000",
"number": "1740205509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "THREE BARKER AVENUE",
"address_2": "PARK AVENUE MEDICAL ASSOCIATES PC 4TH FLOOR",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "10601",
"telephone_number": "914-949-1199",
"fax_number": "914-949-1245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "THREE BARKER AVENUE",
"address_2": "PARK AVENUE MEDICAL ASSOCIATES PC 4TH FLOOR",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "10601",
"telephone_number": "914-949-1199",
"fax_number": "914-949-1245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPLAN",
"first_name": "MITCHEL",
"middle_name": "ALAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2012-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "124108",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "124108",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "0480835",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00547782",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE GHI",
"identifier": "0340EG",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.