ETHAN DAVID KUPFERBERG
NPI 1720967169
Student in an Organized Health Care Education/Training Program in Blue Point, NY
About Ethan David Kupferberg NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHAN DAVID KUPFERBERG (NPI 1720967169) is an individual student in an organized health care education/training program in Blue Point, New York and active in the NPI registry since August 2025.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BLUE POINT, NY 11715
BLUE POINT, NY 11715
BLUE POINT, NY 11715
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ethan Kupferberg's NPI number?
The NPI number for Ethan Kupferberg is 1720967169. It was assigned to this individual provider in the NPPES registry on August 29, 2025.
Where is Ethan Kupferberg located?
Ethan Kupferberg practices at 235 Blue Point Ave, Blue Point, NY 11715. The listed phone number is (631) 363-5794.
What is Ethan Kupferberg's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
When was this NPI record last updated?
The NPPES record for Ethan Kupferberg was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ethan David Kupferberg · NPI 1720967169
Student in an Organized Health Care Education/Training Program provider in Blue Point, New York. Individual provider, active in the CMS NPPES registry since August 29, 2025.
## Identity
- **NPI:** 1720967169 (Entity type: Individual)
- **Enumerated:** August 29, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 235 BLUE POINT AVE, Blue Point, NY 11715-1261
- **Phone:** (631) 363-5794
## Record status
- **NPPES last updated:** August 29, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1720967169) · Data from the CMS NPPES public registry.