Kmjan, LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

122967 Issued in NY

Legal business name

KMJAN, LLC

Practice address

3765 Riverdale Ave
Suite 5
Riverdale, NY 10463-1845

Phone

(718) 601-4800

Fax

(718) 601-6102

NPI assigned

Dec 24, 2005

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kung-Ming Jan, M.D.NPI 1699752261

Title

Director

Phone

(718) 543-1877

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kung-Ming Jan, M.D.

  • Cardiovascular Disease Physician
  • Bronx, NY
  • NPI 1699752261

  Internal Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1135382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1689651226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3656 JOHNSON AVE",
            "address_2": "SUITE 2B",
            "city": "RIVERDALE",
            "state": "NY",
            "postal_code": "104631609",
            "telephone_number": "718-543-1877",
            "fax_number": "718-543-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3765 RIVERDALE AVE",
            "address_2": "SUITE 5",
            "city": "RIVERDALE",
            "state": "NY",
            "postal_code": "104631845",
            "telephone_number": "718-601-4800",
            "fax_number": "718-601-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMJAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-24",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "JAN",
        "authorized_official_first_name": "KUNG-MING",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-543-1877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "122967",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "122967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00592374",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• High Ridge House, Inc.
• Jessica Halprin MD PC
• Dina Eva Kalnicki
• Michael Kaplowitz, MD
• Kapson Riverdale Corp. (Riverdale)
• Rebecca B Magbag, MD
• Georges Moroz, M.D.
• Ernesto Aquiatan Nueva Espana, MD
• Christine Olibrice
• Paul M Hertz DMD LLC

• Cardiovascular Disease Physician in Riverdale, NY
• Providers in Riverdale, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.