MEDICARE: DR. STUART D KAPLAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician	168123	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	03406A	OTHER	NY	MEDICARE GHI

General Provider Information

NPI Number	:	1316940984
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STUART D KAPLAN M.D.

Provider Business Mailing Address
First Line	:	1157 BROADWAY
Second Line	:
City	:	HEWLETT
State	:	NY
Zip	:	11557-2321
Country	:	US
Telephone Number	:	516-295-4481
Fax Number	:	516-295-4809

Provider Business Practice Location Address
First Line	:	1157 BROADWAY
Second Line	:
City	:	HEWLETT
State	:	NY
Zip	:	11557-2321
Country	:	US
Telephone Number	:	516-295-4481
Fax Number	:	516-295-4809

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	11/19/2007

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