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
- 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
762 59th St Ste 7
Brooklyn, NY 11220-3920
Phone (917) 338-6688
Other practice location 2
2481 86th St
Brooklyn, NY 11214-4448
Phone (929) 630-6688
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Brooklyn, NY
- NPI 1245688985
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": "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"
},
{
"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"
}
],
"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.