Kenchanot, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

KENCHANOT, LLC

Practice address

11020 71St Ave Apt 419
Forest Hills, NY 11375-4548

Phone

(646) 421-9433

NPI assigned

Jul 5, 2019

Organization subpart

No

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

Authorized official

Name

Kenneth Chan

Title

Owner

Phone

(646) 421-9433

Specialties & licenses 1

Addresses

Electronic endpoints 2

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

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562284800000",
    "number": "1205498763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11020 71ST AVE APT 419",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 71ST AVE APT 419",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754548",
            "telephone_number": "646-421-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENCHANOT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-05",
        "last_updated": "2019-07-05",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-421-9433"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kenchanot@gmail.com",
            "affiliation": "N",
            "address_1": "11020 71st Ave Apt 419",
            "city": "Forest Hills",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113754548",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kenchanot@gmail.com",
            "affiliation": "N",
            "address_1": "11020 71st Ave Apt 419",
            "city": "Forest Hills",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113754548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole Anne Keiley, DPM
• Lisa Keller
• Randall Lauren Keller, PH.D.
• James Kelly, PA
• Omar K Kelly
• Torian Raheem Kendall I
• Joseph Kennedy, M.S.ED
• Lilieth Angella Kerr-Santana
• David Charles Kesselman, DC
• Benjamin David Kessler, MD

• Early Intervention Provider Agency in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; 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.