Individual provider Active NPI

Kah Loon Wan, FNP

  • Family Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1194308189
Registry record updated May 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
347224 Issued in NY
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

Updated by the provider on May 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
347224NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.