Kwanspine LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

KWANSPINE LLC

Practice address

350 Main St Ste 3
Bedminster, NJ 07921-2689

Phone

(347) 417-0066

Fax

(917) 267-5902

NPI assigned

Mar 11, 2026

Organization subpart

No

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

Authorized official

Name

Kevin Kwan, MDNPI 1104243229

Title

Sole Owner

Phone

(347) 417-0066

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Kevin Kwan, MD

  • Neurological Surgery Physician
  • Bedminster, NJ
  • NPI 1104243229
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1773187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1871440768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 MAIN ST STE 3",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "079212689",
            "telephone_number": "908-888-9392",
            "fax_number": "917-267-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 MAIN ST STE 3",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "079212689",
            "telephone_number": "347-417-0066",
            "fax_number": "917-267-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWANSPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-11",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "KWAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "347-417-0066",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Safwan Khan, PHARMD
• David Klein, D.O.
• Stefanie Konboz
• Meredith Kubic
• Kevin Kwan, MD
• Regan Sue Lakritz, OTR
• Thomas F Lalley, PT
• Frank Anthony Lamorte Jr., DPT
• Lee Oleary LLC
• Andrew Reid Leggett, MD

• Neurological Surgery Physician in Bedminster, NJ
• Providers in Bedminster, NJ by specialty
• Neurological Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.