| Jeremy D Kaufman, MD | |
|
160 Hawley Ln, Urological Associates Of Bpt P.c., Trumbull, CT 06611-5300 | |
| (203) 375-3456 | |
| (203) 375-4456 |
| Full Name | Jeremy D Kaufman |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 23 Years |
| Location | 160 Hawley Ln, Trumbull, Connecticut |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659575405 | NPI | - | NPPES |
| 008001917 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2088P0231X | Urology - Pediatric Urology | 46705 (Connecticut) | Secondary |
| 208800000X | Urology | 46705 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bridgeport Hospital | Bridgeport, CT | Hospital |
| Yale-new Haven Hospital | New haven, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Medical Group Inc | 1254233836 | 1287 |
| Entity Name | Northeast Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy D Kaufman, MD 160 Hawley Ln, Suite 002, Trumbull, CT 06611-5300 Ph: (203) 375-3456 | Jeremy D Kaufman, MD 160 Hawley Ln, Urological Associates Of Bpt P.c., Trumbull, CT 06611-5300 Ph: (203) 375-3456 |
Benjamin Rudnick, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 160 Hawley Ln, Trumbull, CT 06611 Phone: 203-375-3456 | |
Robert P Weinstein, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 160 Hawley Ln, Suite 002, Trumbull, CT 06611 Phone: 203-375-3456 Fax: 203-375-4456 |