KDV Medical PC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

KDV MEDICAL PC

Practice address

193 N Wellwood Ave
Lindenhurst, NY 11757-4005

Phone

(516) 220-8960

NPI assigned

Jan 25, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Ketan Dhruvkumar Vora, MDNPI 1932354818

Title

Ceo

Phone

(516) 220-8960

Specialties & licenses 2

Addresses

Other names 1

• Vora Medical Health Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ketan Dhruvkumar Vora, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Staten Island, NY
  • NPI 1932354818

  Pain Medicine

  Medicare reassignment NPD Authorized official
• Rehan E Khan, DNP-BC

  • Interventional Pain Medicine Physician
  • New York, NY
  • NPI 1104130947

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1346830254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11590",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089061590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 N WELLWOOD AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117574005",
            "telephone_number": "516-220-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KDV MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "VORA",
        "authorized_official_first_name": "KETAN",
        "authorized_official_middle_name": "DHRUVKUMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-220-8960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081N0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vora Medical Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lawrence Wayne Kaplan, D.M.D.
• Lori Kargauer
• Karinemasone Counseling Lcswr, Casac PC
• Marc Katzman, MD
• Kseniya Kavanagh
• Amanda Kehoe
• Keith Hoerning Doctors Care
• Jaime Kelly, LMSW
• Patricia A Kelly, MD
• Key Medical

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Lindenhurst, NY
• Providers in Lindenhurst, NY by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.