Individual provider Active NPI

Jody L. Kaufman, D.O.

  • Anesthesiology Physician
  • Suffern, NY
National Provider Identifier
1922046077
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
199979-1 Issued in NY
Practice address
255 Lafayette Ave
Suffern, NY 10901-4812
Phone
(845) 368-5000
Fax
(845) 357-5777
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 199979-1 NY Primary

Addresses

Primary practice location

255 Lafayette Ave
Suffern, NY 10901-4812

Mailing address

100 Route 59
Suite 105
Suffern, NY 10901-4927
Phone (845) 357-5775

Other identifiers 1

IdentifierTypeStateIssuer
01832026MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040406000940 NJ Practitioner - Anesthesiology 6709879646
I20070210000007 NY Practitioner - Anesthesiology 6709879646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York College of Osteo Medicine of New York Institute of Technology, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ramapo Anesthesiologists, PCGroup PAC ID 3476444373, 78 clinicians

Practice addresses (Care Compare)

255 Lafayette Ave
Suffern, NY 10901-4812
Phone (845) 357-5775

Hospital & facility affiliations

  • Good Samaritan Hospital of Suffern Hospital, Suffern, NY, CCN 330158
  • Bon Secours Community Hospital Hospital, Port Jervis, NY, CCN 330135
  • St Anthony Community Hospital Hospital, Warwick, NY, CCN 330205
  • Garnet Health Medical Center Catskills Hospital, Harris, NY, CCN 330386

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
199979-1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ramapo Anesthesiologists, PC Anesthesiology CurrentSince Jan 1, 1996 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Sep 9, 2020 Accepting new patients
Gastrointestinal Care of Long Island PLLC PastSince Mar 10, 2025 Accepting new patients
Port Jervis Anesthesiology Associates, PLLC Past Accepting new patients

Locations

256 Broad St
Bloomfield, NJ 07003
Phone (973) 615-7700

401 Haledon Ave
North Haledon, NJ 07508
Phone (973) 595-8800

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

68 Harris Bushville Rd
Monticello, NY 12701
Phone (845) 897-6053

500 New Hempstead Rd
Ste A
New City, NY 10956
Phone (845) 362-3200

873 Route 45
Ste 104
New City, NY 10956
Phone (845) 362-1081

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

99 Dutch Hill Rd
Orangeburg, NY 10962
Phone (845) 355-9727

974 Route 45
Ste 2000
Pomona, NY 10970
Phone (845) 354-3700

974 Route 45
Ste 1000
Pomona, NY 10970
Phone (845) 354-1113

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

233 Lafayette Ave
Ste LL5
Suffern, NY 10901
Phone (914) 794-7741

133 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

100 Route 59
Ste 111
Suffern, NY 10901
Phone (845) 369-9701

100 Route 59
Ste 105
Suffern, NY 10901
Phone (845) 357-5745

15 Maple Ave
Warwick, NY 10990
Phone (845) 986-2224

4 Westchester Park Dr
Ste 300
White Plains, NY 10604
Phone (914) 368-2424

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1922046077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ROUTE 59",
            "address_2": "SUITE 105",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014927",
            "telephone_number": "845-357-5775",
            "fax_number": "845-357-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 LAFAYETTE AVE",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014812",
            "telephone_number": "845-368-5000",
            "fax_number": "845-357-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "JODY",
        "middle_name": "L.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "199979-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01832026",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

Verify at the official NPI Registry.