Individual provider Active NPI

Kevin Kwan, MD

  • Neurological Surgery Physician
  • Bedminster, NJ
National Provider Identifier
1104243229
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
25MA11015300 Issued in NJ
Practice address
350 Main St Ste 3
Bedminster, NJ 07921-2689
Phone
(908) 888-9398
Fax
(917) 267-5902
NPI assigned
Mar 26, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 25MA11015300 NJ Primary
Neurological Surgery Physician 207T00000X 24292 ND

Addresses

Primary practice location

350 Main St Ste 3
Bedminster, NJ 07921-2689

Mailing address

350 Main St Ste 3
Bedminster, NJ 07921-2689
Phone (908) 888-9398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, ND3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210616000587 NY Practitioner - Orthopedic Surgery 5092054866 Reassigns benefits to 1 organization
I20220328001844 NJ Practitioner - Neurosurgery 5092054866 Reassigns benefits to 2 organizations
I20260521004750 ND Practitioner - Neurosurgery 5092054866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical Center FargoGroup PAC ID 8426967803, 1,210 clinicians
Advanced Neurosurgery Associates PCGroup PAC ID 1850489949, 10 clinicians

Practice addresses (Care Compare)

1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445

201 State RT
17 Suite 501
Rutherford, NJ 07070-2906
Phone (201) 457-0044

350 Main St
Suite 3
Bedminster, NJ 07921-2689
Phone (908) 888-9398

5225 23Rd Ave S
Fargo, ND 58104-7927
Phone (701) 417-2575

Hospital & facility affiliations

  • Jersey City Medical Center Hospital, Jersey City, NJ, CCN 310074
  • Robert Wood Johnson University Hospital at Rahway Hospital, Rahway, NJ, CCN 310024
  • Sanford Medical Center Fargo Hospital, Fargo, ND, CCN 350011
  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
  • Newton Medical Center Hospital, Newton, NJ, CCN 310028

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion37
Laminectomy or laminotomy (partial removal of spine bones)17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24292NDMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Columbia University in the City of New York CurrentSince Apr 10, 2021 Accepting new patients
Trustees of Columbia University in the City of New York Orthopaedic Surgery CurrentSince Apr 10, 2021 Accepting new patients
Kwanspine LLC Neurological Surgery Current Accepting new patients
Advanced Neurosurgery Associates PC Neurological Surgery CurrentSince Apr 1, 2022 Accepting new patients

Locations

350 Main St
Ste 3
Bedminster, NJ 07921
Phone (347) 417-0066

201 State Rt 17
Ste 501
Rutherford, NJ 07070
Phone (201) 457-0044

622 W 168th St
Ph 111130
New York, NY 10032
Phone (212) 305-0762

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

5141 Broadway
New York, NY 10034
Phone (212) 932-4000

622 W 168th St
Ph 11
New York, NY 10032
Phone (212) 305-5976

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: kkwan459355@direct.ahsys.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • Direct secure messaging: kkwan1349633@ahs.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1104243229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 MAIN ST STE 3",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "079212689",
            "telephone_number": "908-888-9398",
            "fax_number": "917-267-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 MAIN ST STE 3",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "079212689",
            "telephone_number": "908-888-9398",
            "fax_number": "917-267-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAN",
        "first_name": "KEVIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-26",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "25MA11015300",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "ND",
            "license": "24292",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedminster, NJ

Sources for this page

Verify at the official NPI Registry.