Organization Active NPI

KWB Firstwatch Medical

  • Adult Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1881066983
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
KWB FIRSTWATCH MEDICAL
Practice address
302 Broadway
Brooklyn, NY 11211-7308
Phone
(718) 384-0010
Fax
(718) 599-4632
NPI assigned
Oct 28, 2015
Last updated
Oct 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Authorized official

Name
Kivanjit Kaur
Title
Owner
Phone
(718) 644-9410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X NY Primary

Addresses

Primary practice location

302 Broadway
Brooklyn, NY 11211-7308

Mailing address

1416 Madison St
Elmont, NY 11003-1308

National Provider Directory

National Provider Directory
Tax ID family
KWB Firstwatch Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1881066983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 MADISON ST",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110031308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112117308",
            "telephone_number": "718-384-0010",
            "fax_number": "718-599-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWB FIRSTWATCH MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "KIVANJIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-644-9410"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.