Organization Active NPI

E.H. Kaufman Enterprizes

  • Prosthetic/Orthotic Supplier
  • New Haven, CT
National Provider Identifier
1962404178
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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

Updated by the provider on Oct 13, 2022

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 1119597 CT
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
747334OtherCTCONNECTICARE
12DME0192CT01OtherCTBLUE CROSS BLUE SHIELD
A398844OtherCTOXFORD
004020673MedicaidCT

Other names 1

  • YALE SURGICAL COMPANY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930072781 CT DME Supplier - Medical Supply Company With Prosthetic PersonnelDME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Orthotic Personnel 1850419722 Practice locations: New Haven, CT

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.