ELLIS JAY KAUFMAN PA-C NPI 1700921491

NPI Information

  • NPI: 1700921491
  • Provider Name: ELLIS JAY KAUFMAN, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 322 WARREN ST
    SUITE 300
    JOHNSTOWN, PA
    ZIP 15905
  • Phone: (814) 288-4498

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NPI Details

Ellis Jay Kaufman, PA-C is a medical physician assistant in Johnstown, PA. Ellis Jay Kaufman, PA-C NPI is 1700921491. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

322 WARREN ST
SUITE 300
JOHNSTOWN, PA
ZIP 15905-443
Phone: (814) 288-4498
Fax: (814) 288-5427

The NPI 1700921491 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 12/19/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalMA002050LPENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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