Active NPI
Amanda Kahn, MD
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1316430879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 324473
- Practice address
- 242 E 72ND St Ste 1a
New York, NY 10021-4574 - Phone
- (917) 597-9041
- Fax
- (469) 809-7470
- NPI assigned
- Jun 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD475233 | PA | |
| Internal Medicine Physician | 207R00000X | 324473 | NY | Primary |
Addresses
Primary practice location
242 E 72ND St Ste 1a
New York, NY 10021-4574
Mailing address
242 E 72ND St Ste 1a
New York, NY 10021-4574
Phone (917) 597-9041
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 324472 | Other | NY | NY LICENSE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 324473 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Care Associates of the University of Pennsylvania Health | Internal Medicine | Current | Accepting new patients |
Locations
800 Walnut St
Fl 16
Philadelphia, PA 19107
Phone (215) 829-0101
777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775
Interoperability endpoints
- amadakahnny@docvilladirect.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.
-
- Internal Medicine Physician
- Radnor, PA
- NPI 1972682995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702944000000",
"number": "1316430879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "242 E 72ND ST STE 1A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214574",
"telephone_number": "917-597-9041",
"fax_number": "469-809-7470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 E 72ND ST STE 1A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214574",
"telephone_number": "917-597-9041",
"fax_number": "469-809-7470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHN",
"first_name": "AMANDA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-10",
"last_updated": "2023-12-19",
"certification_date": "2023-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD475233",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "324473",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY LICENSE",
"identifier": "324472",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.