NPIMap

Organization Active NPI

KWB Firstwatch Medical

  • Primary Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1346615887
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
KWB FIRSTWATCH MEDICAL
Practice address
302 Broadway
Brooklyn, NY 11211-7308
Phone
(516) 444-7835
Fax
(866) 345-0498
NPI assigned
Dec 9, 2015
Last updated
Dec 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Authorized official

Name
Dr. Kiranjit Kaur, M.D.
Title
Medical Director
Phone
(347) 891-6112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

302 Broadway
Brooklyn, NY 11211-7308

Mailing address

1416 Madison St
Elmont, NY 11003-1308
Phone (516) 444-7835

National Provider Directory

National Provider Directory
Tax ID family
KWB Firstwatch Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1346615887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 MADISON ST",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110031308",
            "telephone_number": "516-444-7835",
            "fax_number": "866-345-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112117308",
            "telephone_number": "516-444-7835",
            "fax_number": "866-345-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWB FIRSTWATCH MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "KIRANJIT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "347-891-6112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.