Individual provider Active NPI

Richard P Kaner, M.A. F-AAA

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1093746398
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
000556 Issued in NY
Practice address
8502 4TH Ave
Brooklyn, NY 11209-4608
Phone
(718) 745-6363
Fax
(718) 836-2223
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 000556 NY Primary

Addresses

Primary practice location

8502 4TH Ave
Brooklyn, NY 11209-4608

Mailing address

8502 4TH Ave
Brooklyn, NY 11209-4608
Phone (718) 745-6363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
000556NYMDPsychoanalyst

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1093746398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8502 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094608",
            "telephone_number": "718-745-6363",
            "fax_number": "718-836-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8502 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094608",
            "telephone_number": "718-745-6363",
            "fax_number": "718-836-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANER",
        "first_name": "RICHARD",
        "middle_name": "P",
        "credential": "M.A. F-AAA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "000556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.