Individual provider Active NPI

Elizabeth J Kahn, WHNP-BC

  • Women's Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1669694956
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
F420608 Issued in NY
Practice address
26 Bleecker St
5TH Floor
New York, NY 10012-2413
Phone
(212) 274-7235
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X F420608 NY Primary

Addresses

Primary practice location

26 Bleecker St
5TH Floor
New York, NY 10012-2413

Mailing address

121 Avenue of the Americas
New York, NY 10013-1510
Phone (212) 941-9090

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200903001569 NY Practitioner - Nurse Practitioner 7618394776 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doral Medical and Multi Specialty Facility LLCGroup PAC ID 9830528645, 53 clinicians
Acute and Chronic Pain Management and MedicineGroup PAC ID 2668512286, 5 clinicians

Practice addresses (Care Compare)

1797 Pitkin Ave
Suite 2
Brooklyn, NY 11212-7844
Phone (718) 971-1944

6506 Myrtle Ave
Glendale, NY 11385-6250
Phone (718) 996-8388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F420608NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Door - a Center of Alternatives, Inc. CurrentSince Mar 31, 2020 Accepting new patients
The Door - a Center of Alternatives, Inc. CurrentSince Mar 31, 2020 Accepting new patients
Doral Medical and Multi Specialty Facility LLC CurrentSince Nov 18, 2024 Accepting new patients
Acute and Chronic Pain Management and Medicine CurrentSince Nov 18, 2024 Accepting new patients
Doral Pharmacy LLC PastSince Nov 18, 2024 Accepting new patients
PPG Anesthesia, PLLC Past Accepting new patients

Locations

1797 Pitkin Ave
Ste 2
Brooklyn, NY 11212
Phone (718) 367-2555

1797 Pitkin Ave
Brooklyn, NY 11212
Phone (718) 367-2555

5002 Flatlands Ave
Ste C
Brooklyn, NY 11234
Phone (347) 286-0741

6506 Myrtle Ave
Glendale, NY 11385
Phone (718) 316-9600

555 Broome St
New York, NY 10013
Phone (212) 453-0222

Networks

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

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1669694956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 AVENUE OF THE AMERICAS",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100131510",
            "telephone_number": "212-941-9090",
            "fax_number": "212-941-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 BLEECKER ST",
            "address_2": "5TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122413",
            "telephone_number": "212-274-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN",
        "first_name": "ELIZABETH",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F420608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.