Nadejda Kan

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

713886 Issued in NY

Practice address

8417 Penelope Ave
Middle Village, NY 11379-2432

Phone

(347) 665-4871

NPI assigned

Sep 23, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1962019000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8417 PENELOPE AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792432",
            "telephone_number": "347-665-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8417 PENELOPE AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792432",
            "telephone_number": "347-665-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAN",
        "first_name": "NADEJDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "713886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "713886",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "endpointDescription": "personal computer",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "communication with other professionals",
            "address_1": "8417 Penelope Ave",
            "city": "Middle Village",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113792432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eileen Jin, M.S., SLP, TSSLD
• Josef Schenker MD PC
• Junction Clinic of Pediatrics,Elmhurst Hospital
• Valerie Cinco Kabul, RPA-C
• Kalpana Arya-Gupta Physician P.C.
• Leana S Kandov
• Noreen Lynn Kanzler, RN
• Elmira Karieva
• Ann Kariyev
• Shelley Karson, MS, CCC-SLP

• Registered Nurse in Middle Village, NY
• Providers in Middle Village, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.