Active NPI
Kah Loon Wan, FNP
- Family Nurse Practitioner
- Staten Island, NY
National Provider Identifier
1194308189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 347224
- Practice address
- 358 New Dorp LN FL 1
Staten Island, NY 10306-3035 - Phone
- (718) 980-6688
- NPI assigned
- Apr 28, 2021
- Last updated
- May 2, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 347224 | NY | Primary |
Addresses
Primary practice location
358 New Dorp LN FL 1
Staten Island, NY 10306-3035
Mailing address
358 New Dorp LN FL 1
Staten Island, NY 10306-3035
Phone (718) 980-6688
Other practice location 1
2481 86th St
Brooklyn, NY 11214-4448
Phone (929) 630-6688
Other practice location 2
762 59th St Ste 7
Brooklyn, NY 11220-3920
Phone (917) 338-6688
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)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 347224 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yen Hoong Ooi MD PLLC | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- kwan684128@nychhc.direct-ci.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777680000000",
"number": "1194308189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "358 NEW DORP LN FL 1",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103063035",
"telephone_number": "718-980-6688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "358 NEW DORP LN FL 1",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103063035",
"telephone_number": "718-980-6688"
}
],
"practiceLocations": [
{
"address_1": "2481 86th St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112144448",
"country_code": "US",
"telephone_number": "929-630-6688",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "762 59th St Ste 7",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112203920",
"country_code": "US",
"telephone_number": "917-338-6688",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WAN",
"first_name": "KAH LOON",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-28",
"last_updated": "2026-05-02",
"certification_date": "2026-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "347224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.