Individual provider Active NPI

Roderick T Kaufmann Jr., M.D.

  • Dermatology Physician
  • Princeton, NJ
National Provider Identifier
1740245539
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MA04925300 Issued in NJ
Practice address
208 Bunn Dr
Princeton, NJ 08540-2851
Phone
(609) 683-4999
Fax
(609) 683-0298
NPI assigned
Apr 18, 2006
Last updated
Feb 14, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25MA04925300 NJ Primary
Dermatology Physician 207N00000X 156735-1 NY

Addresses

Primary practice location

208 Bunn Dr
Princeton, NJ 08540-2851

Mailing address

208 Bunn Drive
Princeton, NJ 08540-3512
Phone (609) 683-4999

Other identifiers 1

IdentifierTypeStateIssuer
223777703OtherNJCOMMERCIAL INSURANCES

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
I20050127000634 NJ Practitioner - Dermatology 0042280315 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Rutgers New Jersey Medical School, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Princeton Dermatology AssociatespcGroup PAC ID 1052377215, 16 clinicians

Practice addresses (Care Compare)

208 Bunn Dr
Princeton, NJ 08540-2851
Phone (609) 683-4999

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.04 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
93.45

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1676
Removal or shaving of skin growth39
Skin biopsy237

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA04925300NJMDDermatology Physician
156735-1NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Dermatology Associates PC Dermatology CurrentSince Jun 9, 2003 Accepting new patients
Princeton Dermatology Associates II LLC Dermatology CurrentSince Apr 1, 2026 Accepting new patients
Princeton Dermatology Associates Kendall Parkpc Dermatology PastSince Jan 1, 2003 Accepting new patients

Locations

307 Omni Dr
Hillsborough, NJ 08844
Phone (908) 281-6633

5 Centre Dr
Ste 1A
Monroe Township, NJ 08831
Phone (609) 655-4544

1950 Route 27
Ste A
North Brunswick, NJ 08902
Phone (732) 297-8866

5 Plainsboro Rd
Ste 550
Plainsboro, NJ 08536
Phone (609) 269-9230

208 Bunn Dr
Princeton, NJ 08540
Phone (609) 683-4999

301 N Harrison St
Ste 1E
Princeton, NJ 08540
Phone (609) 683-4999

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1740245539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 BUNN DRIVE",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403512",
            "telephone_number": "609-683-4999",
            "fax_number": "609-683-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 BUNN DR",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402851",
            "telephone_number": "609-683-4999",
            "fax_number": "609-683-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMANN",
        "first_name": "RODERICK",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA04925300",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "156735-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCES",
            "identifier": "223777703",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.