Active NPI
Feraydoon Kohan, MD, LLC
- Cardiovascular Disease Physician
- Jersey City, NJ
National Provider Identifier
1043310253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 25MA06900200
- Legal business name
- FERAYDOON KOHAN, MD, LLC
- Practice address
- 550 Newark Ave
Suite 301a
Jersey City, NJ 07306-1326 - Phone
- (201) 222-9900
- Fax
- (201) 222-9929
- NPI assigned
- Sep 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Feraydoon Kohan, MD
- Title
- President
- Phone
- (201) 222-9900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 25MA06900200 | NJ | Primary |
Addresses
Primary practice location
550 Newark Ave
Suite 301a
Jersey City, NJ 07306-1326
Mailing address
PO Box 220035
Great Neck, NY 11022-0035
Phone (201) 222-9900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8763801 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
142 Palisade Ave
Ste 209
Jersey City, NJ 07306
Phone (201) 653-8336
550 Newark Ave
Ste 301A
Jersey City, NJ 07306
Phone (201) 533-1002
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Jersey City, NJ
- NPI 1831134311
-
- Internal Medicine Physician
- West New York, NJ
- NPI 1053458018
-
- Internal Medicine Physician
- Union City, NJ
- NPI 1760438691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346803200000",
"number": "1043310253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 220035",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110220035",
"telephone_number": "201-222-9900",
"fax_number": "201-222-9929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 NEWARK AVE",
"address_2": "SUITE 301A",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073061326",
"telephone_number": "201-222-9900",
"fax_number": "201-222-9929"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FERAYDOON KOHAN, MD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-25",
"last_updated": "2012-09-05",
"status": "A",
"authorized_official_last_name": "KOHAN",
"authorized_official_first_name": "FERAYDOON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "201-222-9900",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "25MA06900200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8763801",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.