Individual provider Active NPI

Yanal Kazan

  • Chiropractor
  • Paterson, NJ
National Provider Identifier
1548406499
Registry record updated Dec 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00233300 Issued in NJ
Practice address
470 Chamberlain Ave
Paterson, NJ 07522-1031
Phone
(973) 942-1212
Fax
(973) 942-0523
NPI assigned
Dec 24, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00233300 NJ Primary
Chiropractor 111N00000X X003425-1 NY

Addresses

Primary practice location

470 Chamberlain Ave
Paterson, NJ 07522-1031

Mailing address

470 Chamberlain Ave
Paterson, NJ 07522-1031
Phone (973) 942-1212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
38MC00233300NJMDChiropractor
X003425-1NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1230076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230076800000",
    "number": "1548406499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 CHAMBERLAIN AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075221031",
            "telephone_number": "973-942-1212",
            "fax_number": "973-942-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 CHAMBERLAIN AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075221031",
            "telephone_number": "973-942-1212",
            "fax_number": "973-942-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZAN",
        "first_name": "YANAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-24",
        "last_updated": "2008-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00233300",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X003425-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.