Ren-Bang Jan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

143966 Issued in NY

Practice address

334 Myrtle Ave
Brooklyn, NY 11205-3202

Phone

(718) 855-5085

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1346301561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9107 68TH AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 MYRTLE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112053202",
            "telephone_number": "718-855-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAN",
        "first_name": "REN-BANG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "143966",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "143966",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00661587",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamron Counseling
• Colin Jamron
• Jan Massage & Physical Therapy PLLC
• Jan Pharmacy Corp.
• Jan Victoria Alejado M.S. SLP PC
• Jana Dehovitz Medical, P.C.
• Jana Health Care Corp
• Jana Health Care Physician P.C.
• Janaa Physical Therapy PC
• Maria-Pamela Regina Janairo, MD

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.