Jan Kenneth Davidson, MD PHD

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

250568 Issued in NY

Practice address

1230 York Ave # 39
New York, NY 10065-6307

Phone

(212) 327-7858

Fax

(212) 327-7319

NPI assigned

Sep 26, 2008

Last updated

Sep 26, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jan Kenneth Davidson-Moncada Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

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.

• Montefiore Medical Center

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1003990763
  NPD (past)
• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152
  NPD (past)
• Montefiore Mount Vernon Hospital

  • General Acute Care Hospital
  • Mount Vernon, NY
  • NPI 1013345065
  NPD (past)

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222387200000",
    "number": "1386894244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 YORK AVE # 39",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656307",
            "telephone_number": "212-327-7858",
            "fax_number": "212-327-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 YORK AVE # 39",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656307",
            "telephone_number": "212-327-7858",
            "fax_number": "212-327-7319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "JAN",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "250568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAN",
            "last_name": "DAVIDSON-MONCADA",
            "middle_name": "KENNETH",
            "prefix": "DR.",
            "credential": "MD PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Deeann Marnae Davidson, NP
• Elizabeth Regina Davidson, M.D.
• Emily Davidson, AGNP
• Emmalee Davidson, LMHC
• Frankliin Z. Davidson, M.D.
• Jane Davidson, PSY.D.
• John Davidson, PA
• Karina Davidson, PHD
• Leah Ester Davidson
• Madalyn M Davidson, DMD

• General Acute Care Hospital in New York, NY
• Providers in New York, NY by specialty
• General Acute Care Hospital in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.