Healthcare Provider Details

I. General information

NPI: 1841004637
Provider Name (Legal Business Name): KAPLAN PODIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2025
Last Update Date: 02/19/2025
Certification Date: 02/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 RICHMOND HILL RD
STATEN ISLAND NY
10314-7509
US

IV. Provider business mailing address

310 RICHMOND HILL RD
STATEN ISLAND NY
10314-7509
US

V. Phone/Fax

Practice location:
  • Phone: 718-761-0024
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: ADAM HOWARD KAPLAN
Title or Position: OWNER
Credential: DPM
Phone: 908-889-1660