Active NPI
L. Kan Child Neurology, P.C.
- Neuromusculoskeletal Medicine & OMM Physician
- Flushing, NY
National Provider Identifier
1386899649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- 202310
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Li Kan, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Flushing, NY
- NPI 1679643027
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.