KJ MEDICAL PRACTICE PC NPI 1366739088

NPI Information

  • NPI: 1366739088
  • Provider Name: KJ MEDICAL PRACTICE PC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Doing Business As: ELITE HEALTHCARE
  • CLIA Number: 33D2026399
  • Address: 14 RAYWOOD DR
    MONROE, NY
    ZIP 10950
  • Phone: (845) 782-4000

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NPI Details

KJ MEDICAL PRACTICE PC is a pediatrics in Monroe, NY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. KJ MEDICAL PRACTICE PC NPI is 1366739088. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Elite Healthcare.

The provider's business location address is:

14 RAYWOOD DR
MONROE, NY
ZIP 10950-414
Phone: (845) 782-4000
Fax: (845) 782-6007

The provider's authorized official is Seth Kurtz .
The authorized official title is President and has the following contact phone number (845) 782-4000.

The CLIA number assigned to this NPI record is 33D2026399 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/1/2011 and was last updated on 1/9/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency Medicine232596NEW YORKNo
2208000000XPediatrics232596NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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