Individual provider Active NPI

Mervyn Roy Kaplan, DPM

  • Podiatrist
  • Hartsdale, NY
National Provider Identifier
1922023696
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N0022531 Issued in NY
Practice address
111 N Central Ave Ste 231
Hartsdale, NY 10530-1938
Phone
(914) 681-8868
Fax
(914) 761-0841
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N0022531 NY Primary

Addresses

Primary practice location

111 N Central Ave Ste 231
Hartsdale, NY 10530-1938

Mailing address

76 Soundview Ave
White Plains, NY 10606-3428
Phone (914) 262-7584

Other identifiers 9

IdentifierTypeStateIssuer
00405463MedicaidNY
N69344OtherBLUE SHIELD
154044OtherUNITED HEALTHCARE
252670000OtherWORKERS COMPENSATION US
P257148OtherOXFORD
0053184OtherGHI
1922023696OtherNYMEDICARE NPI
P022534OtherNY WORKERS COMPENSATION
0412430001OtherHEALTHNOW REGION A

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

State licenses

LicenseStateTypeSpecialty
N0022531NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mervyn Roy Kaplan Current Accepting new patients

Locations

80 E Hartsdale Ave
Ste 103
Hartsdale, NY 10530
Phone (914) 374-6564

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.

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": "1683158400000",
    "number": "1922023696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 SOUNDVIEW AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106063428",
            "telephone_number": "914-262-7584",
            "fax_number": "914-761-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N CENTRAL AVE STE 231",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301938",
            "telephone_number": "914-681-8868",
            "fax_number": "914-761-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPLAN",
        "first_name": "MERVYN",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N0022531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00405463",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "N69344",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "154044",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION US",
            "identifier": "252670000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P257148",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0053184",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "1922023696",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY WORKERS COMPENSATION",
            "identifier": "P022534",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNOW REGION A",
            "identifier": "0412430001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.