| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MICHAEL JOHN KAUFFMAN | 1871258301 | 2021-10-31 |
Michael John Kauffman is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1871258301. Registration indicates Michael John Kauffman is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant: Medical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Medical, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant: Surgical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Surgical Technologist, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, )
| Entity Type | Individual |
| Provider Name | Michael John Kauffman PA-C |
| Practice Office Address | 101 NICOLLS RD STONY BROOK, NY US |
| Practice Office Telephone | 6316898333 |
| Mailing Address | 101 NICOLLS RD STONY BROOK, NY 117940001 US |
| Business Telephone | 6316898333 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 11 Hummingbird Ct | Marlboro, NJ 077462509 | 7324478497 |
| Code | Practice | License No State |
|---|---|---|
| 363AM0700X | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant: Medical All Other Specialties & Provider Types Physician Assistant Medical Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | |
| 363AS0400X PRIMARY | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant: Surgical All Other Specialties & Provider Types Physician Assistant Surgical Technologist Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | 027811
NY |