MICHAEL JOHN KAUFFMAN PA-C
NPI 1871258301
Physician Assistant - Surgical in Stony Brook, NY

Active since October 31, 2021PECOS Enrolled
101 NICOLLS RD, STONY BROOK, NY 11794(631) 689-8333 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 2, 2023, Jan 21, 2023 (2 updates tracked since 2023).

About Michael John Kauffman Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL JOHN KAUFFMAN PA-C (NPI 1871258301) is an individual surgical provider in Stony Brook, New York, licensed in New York (027811) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Marlboro.

NPPES Registry Identity

NPI1871258301
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMICHAEL JOHN KAUFFMANCredential: PA-C
Location Address101 NICOLLS RDStony Brook, NY 11794-2509
Mailing Address101 Nicolls RdStony Brook, NY 11794-0001 · (631) 689-8333
Sole ProprietorYes
Enumeration DateOctober 31, 2021
Last NPPES UpdateFebruary 2, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2023
NPI 1871258301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 027811
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
101 NICOLLS RD, Stony Brook, NY 11794

Secondary Practice Location 1

Location 111 Hummingbird CtMarlboro, NJ 07746-2509 · Phone (732) 447-8497

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michael John Kauffman Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Internal Medicine
101 NICOLLS RD
STONY BROOK, NY 11794
Internal Medicine (Gastroenterology)
101 NICOLLS RD
STONY BROOK, NY 11794
Social Worker (Clinical)
101 NICOLLS RD
STONY BROOK, NY 11794
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794

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 Michael Kauffman's NPI number?

The NPI number for Michael Kauffman is 1871258301. It was assigned to this individual provider in the NPPES registry on October 31, 2021.

Where is Michael Kauffman located?

Michael Kauffman practices at 101 Nicolls Rd, Stony Brook, NY 11794. The listed phone number is (631) 689-8333.

What is Michael Kauffman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Michael Kauffman enrolled in Medicare?

Yes. Michael Kauffman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Kauffman was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.