Jian Kang, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

328193 Issued in NY

Practice address

2066 Richmond Ave
Staten Island, NY 10314-3960

Phone

(718) 982-9001

Fax

(718) 982-9008

NPI assigned

Sep 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: jian.kang.1@29151.direct.athenahealth.com

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.

• Logan General Hospital LLC

  • Podiatrist
  • Logan, WV
  • NPI 1720032105
  Medicare reassignment NPD
• WV Asthma and Allergy Centers, Inc.

  • Allergy & Immunology Physician
  • Beckley, WV
  • NPI 1205011509
  Medicare reassignment NPD
• Allied Physicians Group, PLLC

  • Pediatrics Physician
  • Melville, NY
  • NPI 1396944799
  NPD
• Appalachia Pathology Consultants LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Logan, WV
  • NPI 1689037780
  NPD
• WV Asthma and Allergy Centers, Inc.

  • Allergy & Immunology Physician
  • Charleston, WV
  • NPI 1114005477
  NPD
• WV Asthma and Allergy Centers, Inc.

  • Allergy & Immunology Physician
  • Parkersburg, WV
  • NPI 1316122617
  NPD
• Sierra View Local Health Care District

  • General Acute Care Hospital
  • Porterville, CA
  • NPI 1639143381
  NPD (past)

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1114112026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 BROADHOLLOW RD STE 150",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474909",
            "telephone_number": "631-386-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2066 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143960",
            "telephone_number": "718-982-9001",
            "fax_number": "718-982-9008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "519 Broadway",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103102822",
            "country_code": "US",
            "telephone_number": "718-982-9001",
            "fax_number": "718-982-9008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANG",
        "first_name": "JIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2025-06-23",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "328193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Mary Kane
• Kaitlyn Kane
• Kathleen Patricia Kane, RN
• Melanie Kane
• Cheng-an Kang, M.D.
• Sandeep Kang
• Soo Kyong Kang
• Joanna Kania, PTA
• Gauvain Kankeu Tonpouwo, MD
• Kahee Kanneh, RN

• Pediatrics Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.