Active NPI
Kenneth P Kahaner, M.D.
- Neurology Physician
- Roslyn, NY
National Provider Identifier
1336298488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 136550
- Practice address
- 100 Port Washington Blvd
Roslyn, NY 11576-1353 - Phone
- (516) 629-2470
- Fax
- (516) 629-2027
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 136550 | NY | Primary |
| Psychiatry Physician | 2084P0800X | 136550 | NY |
Addresses
Primary practice location
100 Port Washington Blvd
Roslyn, NY 11576-1353
Mailing address
PO Box 1559
Port Washington, NY 11050-7559
Phone (516) 629-2470
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00508874 | Medicaid | NY |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kenneth Kahaner M.D. | Neurology | Past | Accepting new patients |
Interoperability endpoints
- kkahaner24051@direct-chsli.net
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": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1336298488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1559",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "110507559",
"telephone_number": "516-629-2470",
"fax_number": "516-629-2027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PORT WASHINGTON BLVD",
"city": "ROSLYN",
"state": "NY",
"postal_code": "115761353",
"telephone_number": "516-629-2470",
"fax_number": "516-629-2027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHANER",
"first_name": "KENNETH",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "136550",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "136550",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00508874",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roslyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.