Active NPI
E.H. Kaufman Enterprizes
- Prosthetic/Orthotic Supplier
- New Haven, CT
National Provider Identifier
1962404178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- E.H. KAUFMAN ENTERPRIZES
- Practice address
- 627 Chapel St
New Haven, CT 06511-6992 - Phone
- (203) 777-2396
- NPI assigned
- Jun 1, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Edward Nicholas Kaufman
- Title
- Ceo
- Phone
- (203) 777-2396
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1119597 | CT | |
| Orthopedic Physical Therapist | 2251X0800X | 1119597 | CT | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
627 Chapel St
New Haven, CT 06511-6992
Mailing address
627 Chapel St
New Haven, CT 06511-6919
Phone (203) 777-2396
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 747334 | Other | CT | CONNECTICARE |
| 12DME0192CT01 | Other | CT | BLUE CROSS BLUE SHIELD |
| A398844 | Other | CT | OXFORD |
| 004020673 | Medicaid | CT |
Other names 1
- YALE SURGICAL COMPANY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930072781 | CT | DME Supplier - Medical Supply Company With Prosthetic Personnel | 1850419722 | Practice locations: New Haven, CT |
National Provider Directory
National Provider DirectoryLocations
425 Hospital Dr
Ste 3
Columbus, MS 39705
Phone (662) 213-3017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665619200000",
"number": "1962404178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "627 CHAPEL ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065116919",
"telephone_number": "203-777-2396",
"fax_number": "203-777-4617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "627 CHAPEL ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065116992",
"telephone_number": "203-777-2396"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "E.H. KAUFMAN ENTERPRIZES",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-01",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A",
"authorized_official_last_name": "KAUFMAN",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "NICHOLAS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "203-777-2396",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CT",
"license": "1119597",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": "CT",
"license": "1119597",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "747334",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "12DME0192CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "A398844",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004020673",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "YALE SURGICAL COMPANY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "YALE SURGICAL COMPANY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.