Peter C Kwan, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

182088 Issued in NY

Practice address

3611A E Tremont Ave
Bronx, NY 10465-2009

Phone

(908) 222-2894

Fax

(908) 222-2897

NPI assigned

Jan 14, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1093991697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 OAK TREE RD",
            "address_2": "SUITE102",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201082",
            "telephone_number": "908-222-2894",
            "fax_number": "908-222-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611A E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652009",
            "telephone_number": "908-222-2894",
            "fax_number": "908-222-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAN",
        "first_name": "PETER",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "182088",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "182088",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert Kwak
• Hee Joon Kwak, DDS
• Iris Herin Kwak, MD
• Taehee Kwak, MD
• Oscar Kwan, PHARMD
• Maureen Mary Yunkap Kwankam, M.D., MPH
• Henry Kwapong
• Deon Kwarula
• Enyonam Kwasi-Wuli
• Rama Hussein Hmoud Kwaylih

• Neurology Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.