Organization Active NPI

L. Kan Child Neurology, P.C.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Flushing, NY
National Provider Identifier
1386899649
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
202310 Issued in NY
Legal business name
L. KAN CHILD NEUROLOGY, P.C.
Practice address
13620 38TH Ave
Ste 7B
Flushing, NY 11354-4277
Phone
(718) 888-9443
Fax
(888) 749-6861
NPI assigned
Nov 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Authorized official

Name
Dr. Li Kan, MDNPI 1679643027
Title
Child Neurologist
Phone
(718) 888-9443

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204D00000X 202310 NY Primary

Addresses

Primary practice location

13620 38TH Ave
Ste 7B
Flushing, NY 11354-4277

Mailing address

PO Box 630360
Little Neck, NY 11363-0360
Phone (718) 888-9443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131230000396 NY Part B Supplier - Clinic/Group Practice 9638306376 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

13620 38th Ave
Ste 7B
Flushing, NY 11354
Phone (718) 886-0066

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1227830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1386899649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 630360",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113630360",
            "telephone_number": "718-888-9443",
            "fax_number": "888-749-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13620 38TH AVE",
            "address_2": "STE 7B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544277",
            "telephone_number": "718-888-9443",
            "fax_number": "888-749-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L. KAN CHILD NEUROLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-28",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "KAN",
        "authorized_official_first_name": "LI",
        "authorized_official_title_or_position": "CHILD NEUROLOGIST",
        "authorized_official_telephone_number": "718-888-9443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "202310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.