Individual provider Active NPI

Joel L. Kahan, M.D.

  • Pediatrics Physician
  • Plainview, NY
National Provider Identifier
1376608323
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
139981 Issued in NY
Practice address
1171 Old Country Rd
Plainview, NY 11803-5022
Phone
(516) 931-4343
Fax
(516) 931-0347
NPI assigned
Dec 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 139981 NY Primary

Addresses

Primary practice location

1171 Old Country Rd
Plainview, NY 11803-5022

Mailing address

1171 Old Country Rd
Plainview, NY 11803-5022
Phone (516) 931-4343

Other identifiers 1

IdentifierTypeStateIssuer
00982738MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191118001738 NY Practitioner - Pediatric Medicine 9931322849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allied Physicians Group, PLLCGroup PAC ID 0042433146, 19 clinicians

Practice addresses (Care Compare)

2282 Old Country Rd
Suite 2Aand2B
Plainview, NY 11803-5022
Phone (516) 931-4343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
139981NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Physicians Group, PLLC Pediatrics CurrentSince Nov 4, 2019 Accepting new patients

Locations

2611 Corporal Kennedy St
Bayside, NY 11360
Phone (718) 224-6000

380 N Broadway
Ste L2
Jericho, NY 11753
Phone (516) 931-1776

34 Commerce Ave
Riverhead, NY 11901
Phone (631) 591-3000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: joel.kahan.1@29151.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376608323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 OLD COUNTRY RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118035022",
            "telephone_number": "516-931-4343",
            "fax_number": "516-931-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 OLD COUNTRY RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118035022",
            "telephone_number": "516-931-4343",
            "fax_number": "516-931-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHAN",
        "first_name": "JOEL",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "139981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00982738",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

Verify at the official NPI Registry.